Jacquelyn Marie Roggenbuck in Rockford - Occupational Therapist
Jacquelyn Marie Roggenbuck - NPI 1063625820
Jacquelyn Marie Roggenbuck is a Occupational Therapist in Rockford, Illinois. Jacquelyn Marie Roggenbuck practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jacquelyn Marie Roggenbuck is 1063625820. The last update date is 2023-09-13.
Jacquelyn Marie Roggenbuck's current location address is 324 Roxbury Road, Rockford, Illinois. You can contact this provider via phone number 8153989491 and fax number 8153817498. The mailing address for Jacquelyn Marie Roggenbuck is 324 Roxbury Road, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Marie Roggenbuck |
|---|---|
| Address | 324 Roxbury Road, Rockford, Illinois |
| Phone Number | 8153989491 |
| Fax Number | 8153817498 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1063625820 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2023-09-13 |
Provider Mailing Address Detail
| Address | 324 Roxbury Road |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 61107 |
| Phone Number | 8153989491 |
| Fax Number | 8153817498 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 056-011026 |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41046100 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jacquelyn Marie Roggenbuck by the Centers for Medicare & Medicaid Services (CMS)?
The Jacquelyn Marie Roggenbuck has been assigned the NPI (National Provider Identifier) 1063625820. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jacquelyn Marie Roggenbuck's facilities are situated?
The facilities of Jacquelyn Marie Roggenbuck are physically located at the following address: 324 Roxbury Road, Rockford, IL, 61107.
What is the Jacquelyn Marie Roggenbuck's area of specialization and corresponding taxonomy classification?
The Jacquelyn Marie Roggenbuck's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
When did the Jacquelyn Marie Roggenbuck receive its 1063625820?
The Jacquelyn Marie Roggenbuck was issued its 1063625820 on 2007-05-08, which is the date when the organization was assigned this unique identifier.
When was the Jacquelyn Marie Roggenbuck's information last updated?
The Jacquelyn Marie Roggenbuck's information was last updated on 2023-09-13.
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