Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA JACQUES
ActiveOccupational Therapist · WILDWOOD, MO
Registration Details
- NPI Number
- 1457692915
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2013 (13.164117509528 yrs)
- Last Updated
- Oct 12, 2022
- License
-
2012035100 (MO)
Practice Information
- Address
-
16972 MANCHESTER RDWILDWOOD, MO, 630401200Browse MO providers · Browse ZIP 63040
- Phone
- 6364775187
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in WILDWOOD, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL J KERN | OTR/L | 1245554229 |
| SUSAN LYNN INSERRA | OTR/L | 1699116194 |
| DANAE MARIE WOLLBERG | MOTR/L | 1447867437 |
| MEGHAN CUNNINGHAM | — | 1568143816 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.