Organization
RENEWED THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN MARIE JACOBI OT (OWNER)
(319) 540-5738
Entity
Organization
Contact information
Practice address
960 E 53RD ST, DAVENPORT, IA 52807-2613
(563) 219-7002
Mailing address
361 N 8TH ST, LE CLAIRE, IA 52753-8606
(319) 540-5738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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