Jacquline Clemons LOTR

NPI 1003187451 - Occupational Therapist - 225X00000X

NPI Details
NPI 1003187451
Gender Female
Enumeration Date 01/17/2012
Last Updated 01/17/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
625 ASHLAND ST
ARCHDALE NC, 27263-2943, US
Phone (336) 434-2902
Fax (336) 434-4477
Business Location
5543 FRANCES CT
WINSTON SALEM NC, 27105-1772, US
Phone (336) 624-3454
Fax (336) 744-5624
Toxanomy
Taxonomy Code 225X00000X
License State North Carolina
License Number 5927
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According to our database, Ms. Jacquline Clemons LOTR NPI is 1003187451, taxonomy code is 225X00000X and license number is 5927, license state is located at North Carolina. Jacquline Clemons LOTR physically located at 625 Ashland St, Archdale NC, 27263-2943. NPI Number Jacquline Clemons LOTR has the Individual type.

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1003187451 NPI number is provided on an as is basis without warranty of any kind. 1003187451 is maintained by the National Plan & Provider Enumeration System. The contents of Jacquline Clemons LOTR are for informational purposes only.