Individual
JACLYN BALTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SUNSET DR, YOUNGSVILLE, NC 27596-9403
(919) 562-5550
Mailing address
441 SLOMO CT, WAKE FOREST, NC 27587-3534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14304
NC
Other
Enumeration date
10/08/2014
Last updated
05/02/2024
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