Most Relevant Information
Provider Data
| NPI Number: | 1003329467 |
| Provider Name: | JESSICA M LOIS OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 6167-26 |
Most Important Dates
| Enumeration Date: | 11/08/2017 |
| Last Updated: | 12/07/2018 |
Provider Practice Location
25250 75TH ST
SALEM
WI
531688705
Practice Location Phone/Fax
| Phone: | 2628434200 |
| Fax: |
Provider Mailing Location
600 OAKMONT LN STE 600C
WESTMONT
IL
605595548
Provider Mailing Phone/Fax
| Phone: | 6305756200 |
| Fax: |