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LAURIE JONES

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1720531122

Individual Registrant:
 LAURIE  JONES 
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: --

Contact information for business:
107 E SOUTH ST  SOUTH WAYNE, WI 53587-9786 US
Tel: --  Fax: --

Registration Information:
NPI: 1720531122
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
IL057.004577
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
WI5290-27

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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