Individual
JACLYN NICOLE CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
Mailing address
1406 100TH ST, APT 2, FORT WAINWRIGHT, AK 99703-1389
(312) 371-6875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102746
AK
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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