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Jaclyn Decarlo

Occupational Therapy Assistant in White Plains, NY. Individual provider (NPI-1).

NPI number1902551237
StatusActive
Last updated in NPPESFeb 15, 2022

Details

NPI
1902551237
Entity type
Individual (NPI-1)
Name
Jaclyn Decarlo
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 15, 2022
Certification date
Feb 11, 2022
Last updated
Feb 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant008557-01NYYes

Practice location

1311 Mamaroneck Ave Ste 150
White Plains, NY 10605-5222

Phone 914-328-2868 · Fax 914-328-2973

Mailing address

180 Stony Brook Rd
Fishkill, NY 12524-2986

Phone 914-920-0870

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