Carolyn H Jack O.T.

NPI 1598059792 - Occupational Therapist - 225X00000X

NPI Details
NPI 1598059792
Gender Female
Enumeration Date 06/05/2011
Last Updated 07/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
DANVILLE VA, 24541-1828, US
Phone (434) 791-4691
Fax (434) 791-4692
Business Location
PO BOX 10518
DANVILLE VA, 24543-5009, US
Phone (434) 791-4691
Fax (434) 791-4692
Taxonomy Code 225X00000X
License State Virginia
License Number 0119004889
Remove 1598059792 NPI Number

According to our database, Carolyn H Jack O.T. NPI is 1598059792, taxonomy code is 225X00000X and license number is 0119004889, license state is located at Virginia. Carolyn H Jack O.T. physically located at 990 Main St, Danville VA, 24541-1828. NPI Number Carolyn H Jack O.T. has the Individual type.

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1598059792 NPI number is provided on an as is basis without warranty of any kind. 1598059792 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn H Jack O.T. are for informational purposes only.