Individual
MRS. JACLYN ELIZABETH MACCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(267) 350-5296
Mailing address
91 ORELAND PL, ORELAND, PA 19075-1114
(267) 785-4597
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OC010862
PA
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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