Fonk, Jill Marie

Fonk, Jill Marie is an individual health care provider with primary practice located at 3100 Washington Rd , Kenosha WI 53144-1604. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fonk, Jill Marie can be contacted via phone (262) 658-4074.

Contact Information

Primary practice address
3100 Washington Rd Kenosha WI 53144-1604
Phone: (262) 658-4074
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3850-026 Wisconsin

Profile Details

NPI number 1083889976
LBN Legal business name Fonk, Jill Marie
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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