Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackelien Vargas Lopez

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1730006651

Jackelien Vargas Lopez is a Physical Rehabilitation Occupational Therapist in Green Bay, Wisconsin. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

1126 Reber St
Green Bay, WI 54302-1522
Phone: (920) 600-4868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence OT.OT.70127162 (WA)

Record details

NPI number1730006651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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