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Individual

JACQUELYN NICOLE-JAQUA SCHWANZ

Active
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Individual

JACQUELYN NICOLE-JAQUA SCHWANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008132
MI
225X00000X
Occupational Therapist
6102
OK
225X00000X
Occupational Therapist
8380-26
WI
225X00000X
Occupational Therapist
OT013163
OH

Other

Enumeration date
11/19/2013
Last updated
06/17/2025
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