Fowle, Jaclyn Ann

Fowle, Jaclyn Ann is an individual health care provider with primary practice located at 1120 Via Callejon Ste B , San Clemente CA 92673-6264. 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. Fowle, Jaclyn Ann can be contacted via phone (949) 878-0625.

Contact Information

Primary practice address
1120 Via Callejon Ste B San Clemente CA 92673-6264
Phone: (949) 878-0625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 10345 California

Profile Details

NPI number 1992935431
LBN Legal business name Fowle, Jaclyn Ann
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Jul 17th, 2009 - about 17 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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