| Doctor Name: | MS. MARY COLETTE JEWELL |
| NPI Number: | 1114099389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OT |
| License Number: | OT 1600 |
| Business Practice Address: | 1827 S Court St Suite C Visalia, CA - 932775469 |
| Business Phone Number: | 5596273274 |
| Business Fax Number: | 5596273284 |
| Mailing Address: | 2515 E Princeton Ave, VISALIA |
| State: | CA |
| Postal Code: | 932925678 |
| Phone Number: | 5592805661 |
| Fax Number: | 5596250389 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 03/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | OT 1600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |