Individual
JACY JANE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4545
Mailing address
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1577
ND
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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