JEANIE DEE FOUNTAIN

BETTENDORF, IA
NPI1942329958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IA  01203)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IL  056.005277)
225X00000X Occupational Therapist
(Licence: KS  998)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- JEANIE DEE FOUNTAIN OTR
2730 CROW CREEK RD
BETTENDORF, IA 52722-2066
Phone number: 563-543-4525
Mailing Address
-- JEANIE DEE FOUNTAIN OTR
5145 FILLMORE CT
DAVENPORT, IA 52806-3671
Phone number: 563-543-4525