Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jill Marie Fonk, MS, OTR/L

Individual provider Occupational Therapist · NPI 1083889976

Mrs. Jill Marie Fonk, MS, OTR/L is an Occupational Therapist in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3100 Washington Rd
Kenosha, WI 53144-1604
Phone: (262) 658-4074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3850-026 (WI)

Record details

NPI number1083889976
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedApril 23, 2008
Last updated in NPPESApril 23, 2008

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