Individual
JACLYN PETERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
208 JAMES ST, ANDERSON, SC 29625-2942
(864) 226-3427
Mailing address
111 MONTCLAIRE CIR, LIBERTY, SC 29657-5200
(862) 812-3014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4975
SC
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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