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LAURIE JONES
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1720531122
Individual Registrant: LAURIE JONES
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
107 E SOUTH ST SOUTH WAYNE, WI 53587-9786 US
Tel: 608-293-2358 Fax: --
Tel: 608-293-2358 Fax: --
Contact information for business:
107 E SOUTH ST SOUTH WAYNE, WI 53587-9786 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1720531122
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | IL | 057.004577 |
| Y | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | WI | 5290-27 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
