Sands, Jackie M

Sands, Jackie M is an sole proprietor health care provider with primary practice located at 331 S Water St , Sparta WI 54656-1726. 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. Sands, Jackie M can be contacted via phone (608) 269-0555.

Contact Information

Primary practice address
331 S Water St Sparta WI 54656-1726
Phone: (608) 269-0555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4725-026 Wisconsin

Profile Details

NPI number 1427291731
LBN Legal business name Sands, Jackie M
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2009
Last updated Feb 6th, 2015 - about 10 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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