Jacqueline Lee Polakowski in South Milwaukee - Occupational Therapy Assistant
Jacqueline Lee Polakowski - NPI 1215159348
Jacqueline Lee Polakowski is a Occupational Therapy Assistant in South Milwaukee, Wisconsin. Jacqueline Lee Polakowski practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Jacqueline Lee Polakowski is 1215159348. The last update date is 2007-07-09.
Jacqueline Lee Polakowski's current location address is 1717 Oak St, South Milwaukee, Wisconsin. You can contact this provider via phone number 4147626379. The mailing address for Jacqueline Lee Polakowski is 1717 Oak St, South Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacqueline Lee Polakowski |
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Address | 1717 Oak St, South Milwaukee, Wisconsin |
Phone Number | 4147626379 |
Fax Number | |
Sole Proprietor | N |
Credentials | COTA |
NPI Number Detail
NPI Number | 1215159348 |
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Provider Enumeration Date | 2007-05-02 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1717 Oak St |
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City | South Milwaukee |
State | Wisconsin (WI) |
Post Code | 531721455 |
Phone Number | 4147626379 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapy Assistant |
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Taxonomy | 224Z00000X |
Licence No | 83027 |
Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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40599000 | WI | -- |
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What is the unique identification code assigned to Jacqueline Lee Polakowski by the Centers for Medicare & Medicaid Services?
The Jacqueline Lee Polakowski has been issued the NPI (National Provider Identifier) 1215159348. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jacqueline Lee Polakowski's facilities are situated?
The facilities of Jacqueline Lee Polakowski are physically located at the following address: 1717 Oak St, South Milwaukee, WI, 531721455.
What is the Jacqueline Lee Polakowski's specialty and taxonomy code?
The Jacqueline Lee Polakowski's specialty is Occupational Therapy Assistant, and the corresponding taxonomy code is 224Z00000X.
When did the Jacqueline Lee Polakowski receive its 1215159348?
The Jacqueline Lee Polakowski was issued its 1215159348 on 2007-05-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jacqueline Lee Polakowski most recently updated or revised?
The information pertaining to Jacqueline Lee Polakowski, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.