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NPI Code Detail

MEDICARE: MS. JACQUELINE MARIE JURKOWSKI OCCUPATIONAL THERAPI

MEDICARE: MS. JACQUELINE MARIE JURKOWSKI OCCUPATIONAL THERAPI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist005659TX

General Provider Information

NPI Number : 1861476194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JACQUELINE MARIE JURKOWSKI OCCUPATIONAL THERAPI
Provider Business Mailing Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-742-2488
Fax Number :
Provider Business Practice Location Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-742-2488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 03/26/2026

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