Individual
JACQUELINE ECKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4879 3RD ST, VESPER, WI 54489-9412
(715) 213-4406
Mailing address
4879 3RD ST, VESPER, WI 54489-9412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
484827
WI
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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