Individual
JACQUELYN NICOLE-JAQUA SCHWANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
112 HURON AVE, HARRISVILLE, MI 48740-9216
(989) 572-9395
Mailing address
112 HURON AVE, HARRISVILLE, MI 48740-9216
(989) 572-9395
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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