Individual
MRS. JACLYN MICHELE BELCASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OT R/L
Contact information
Practice address
141 STATE ST., BEST LIFE THERAPY LLC, BRIDGEPORT, WV 26330-1375
(304) 933-3073
(304) 933-3187
Mailing address
141 STATE ST., BEST LIFE THERAPY LLC, BRIDGEPORT, WV 26330-1375
(304) 933-3073
(304) 933-3187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1349
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010303
—
WV
Enumeration date
02/08/2008
Last updated
09/03/2010
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