Individual
JACLYN ZINK-PITUSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S BEACH ST STE 200, DAYTONA BEACH, FL 32114-4433
(386) 898-6040
(386) 256-2320
Mailing address
210 S BEACH ST STE 200, DAYTONA BEACH, FL 32114-4433
(386) 898-6040
(386) 256-2320
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHT-020
INFANT TODDLER DEVELOPMENTAL SPECIALIST
FL
Enumeration date
04/03/2025
Last updated
05/01/2025
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