Polecastro, Jacqueline Marie

Polecastro, Jacqueline Marie is an individual health care provider with primary practice located at 5219 88Th Ave , Kenosha WI 53144-7468. 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. Polecastro, Jacqueline Marie can be contacted via phone (262) 653-0850.

Contact Information

Primary practice address
5219 88Th Ave Kenosha WI 53144-7468
Phone: (262) 653-0850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 6244-26 Wisconsin

Profile Details

NPI number 1871085977
LBN Legal business name Polecastro, Jacqueline Marie
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2018
Last updated Oct 18th, 2018 - about 8 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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