Jaclyn Baltera
Occupational Therapist in Youngsville, NC. Individual provider (NPI-1).
NPI number1326441007
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1326441007
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Baltera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2014
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 14304 | NC | Yes |
Other names
- Jaclyn Doolin (Former Name)
Practice location
100 Sunset DrYoungsville, NC 27596-9403
Phone 919-562-5550
Mailing address
441 Slomo CtWake Forest, NC 27587-3534
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