Jaclyn Renee Lieske, COTA

NPI #1811710361 in Le Sueur, Minnesota

Provider Information

NPI Number
1811710361
Entity Type
Individual
Name
Jaclyn Renee Lieske, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Nov 4, 2024
Last Updated
Nov 4, 2024

Practice Location

Address
621 S 4TH ST
ZIP Code
56058-2203
Phone
(507) 665-8689

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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