MRS. Jaclyn Ann Fowle, MS OTR/L

NPI #1992935431 in San Clemente, California

Provider Information

NPI Number
1992935431
Entity Type
Individual
Name
MRS. Jaclyn Ann Fowle, MS OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
MS OTR/L
Enumeration Date
Jul 17, 2009
Last Updated
Jul 17, 2009

Practice Location

Address
1120 VIA CALLEJON STE B
ZIP Code
92673-6264
Phone
(949) 878-0625

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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