Individual
MS. SHARON ANN JACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8466
Mailing address
95 BURRITT RD, HILTON, NY 14468-9768
(585) 633-2663
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005484-1
NY
Other
Enumeration date
03/12/2009
Last updated
12/04/2011
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