Individual provider · Type 1 NPI

Jill Marie Fonk, MS, OTR/L

Occupational Therapist · Kenosha, WI

NPI number 1083889976 Active

Practice location

3100 Washington Rd
Kenosha, WI 53144-1604

Call (262) 658-4074 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3850-026 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1083889976

Jill Marie Fonk, MS, OTR/L's National Provider Identifier is 1083889976, issued on Apr 23, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kenosha, WI. The record was last updated on Apr 23, 2008.