DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. JACLYN ANN FOWLE MS OTR/L

MEDICARE: MRS. JACLYN ANN FOWLE MS OTR/L
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 Therapist10345CA

General Provider Information

NPI Number : 1992935431
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JACLYN ANN FOWLE MS OTR/L
Provider Business Mailing Address
First Line : 1120 VIA CALLEJON STE B
Second Line :
City : SAN CLEMENTE
State : CA
Zip : 92673-6264
Country : US
Telephone Number : 949-878-0625
Fax Number :
Provider Business Practice Location Address
First Line : 1120 VIA CALLEJON STE B
Second Line :
City : SAN CLEMENTE
State : CA
Zip : 92673-6264
Country : US
Telephone Number : 949-878-0625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2009
Last Update Date : 07/17/2009

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1740301647 — BETSY ANN AASLAND MS, O.T.R.
Practice Location Address:
1120 VIA CALLEJON STE B
SAN CLEMENTE, CA
92673-6264
Practice Phone: 949-498-5100
Practice Fax: 949-366-5665
1356572259 — MANDY RAE REESE OTR/L
Practice Location Address:
1120 VIA CALLEJON STE B
SAN CLEMENTE, CA
92673-6264
Practice Phone: 949-498-5100
Practice Fax:
1437473352 — CAITLIN SPATES COTA
Practice Location Address:
1120 VIA CALLEJON STE B
SAN CLEMENTE, CA
92673-6264
Practice Phone: 949-498-5100
Practice Fax:
1194049056 — KERRY GRIMES WAGNER MPT
Practice Location Address:
1120 VIA CALLEJON STE B
SAN CLEMENTE, CA
92673-6264
Practice Phone: 949-481-1095
Practice Fax:
1831413699 — STACY ROSE GOLDFIELD SPA
Practice Location Address:
1120 VIA CALLEJON STE B
SAN CLEMENTE, CA
92673-6264
Practice Phone: 949-498-5100
Practice Fax:

Directions to “ MRS. JACLYN ANN FOWLE MS OTR/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.