Individual
JACLYN KARA JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3905 UNIVERSITY DR, DURHAM, NC 27707-2517
(919) 928-0204
Mailing address
3905 UNIVERSITY DR, DURHAM, NC 27707-2517
(919) 928-0204
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9705
NC
Other
Enumeration date
04/10/2015
Last updated
09/08/2017
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