Jacqueline Marie Jolicoeur, OTR/L | |
1919 Creston Rd, Paso Robles, CA 93446-4401 | |
(805) 257-1050 | |
Not Available |
Full Name | Jacqueline Marie Jolicoeur |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1919 Creston Rd, Paso Robles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841551330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4801 (California) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962001446 PECOS PAC ID: 2365359932 Enrollment ID: O20140731000901 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Marie Jolicoeur, OTR/L 5558 Aguacate St, Atascadero, CA 93422-2653 Ph: (949) 322-6975 | Jacqueline Marie Jolicoeur, OTR/L 1919 Creston Rd, Paso Robles, CA 93446-4401 Ph: (805) 257-1050 |
Henna Manglani, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2503 Beechwood Dr, Paso Robles, CA 93446 Phone: 805-237-3048 | |
Joseph Ryan Shannon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1806 Carino Ct, Paso Robles, CA 93446 Phone: 805-674-6978 | |
Kacie Elizabeth Poage, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1919 Creston Rd, Paso Robles, CA 93446 Phone: 805-257-1050 Fax: 805-591-4983 | |
Chelsea Stevens, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 S River Rd, Paso Robles, CA 93446 Phone: 310-968-1219 |