JILL MARIE FONK

KENOSHA, WI
NPI1083889976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  3850-026)
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
Mrs. JILL MARIE FONK MS, OTR/L
3100 WASHINGTON RD
KENOSHA, WI 53144-1604
Phone number: 262-658-4074
Mailing Address
Mrs. JILL MARIE FONK MS, OTR/L
3100 WASHINGTON RD
KENOSHA, WI 53144-1604
Phone number: 262-658-4074
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