Lisa Jacques, | |
16972 Manchester Rd, Wildwood, MO 63040-1200 | |
(636) 477-5187 | |
Not Available |
Full Name | Lisa Jacques |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 16972 Manchester Rd, Wildwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457692915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2012035100 (Missouri) | Primary |
Provider Name | Jacques Optometry Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386217586 PECOS PAC ID: 9436552445 Enrollment ID: O20210728003651 |
Mailing Address | Practice Location Address |
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Lisa Jacques, 16972 Manchester Rd, Wildwood, MO 63040-1200 Ph: () - | Lisa Jacques, 16972 Manchester Rd, Wildwood, MO 63040-1200 Ph: (636) 477-5187 |
Mrs. Julie Lynn Clark, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2446 Forest Leaf Pkwy, Wildwood, MO 63011 Phone: 636-458-2584 Fax: 636-458-2584 | |
Mrs. Carol J Kern, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16350 Lakeshore Terrace Ct, Wildwood, MO 63038 Phone: 636-394-4766 | |
Danae Marie Wollberg, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 531 Roaring Fork Dr, Wildwood, MO 63040 Phone: 314-705-5710 | |
Meghan Cunningham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 Plaza Dr, Wildwood, MO 63040 Phone: 314-403-1698 | |
Susan Lynn Inserra, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1423 Westhampton View Ln, Wildwood, MO 63005 Phone: 636-821-1043 | |
Mr. Steven Ice, MOT, OT/L, CDRS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16639 Westglen Farms Dr, Wildwood, MO 63011 Phone: 314-920-0583 Fax: 636-821-1805 |