Individual
JACQULYN BLAUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2141 N 62ND AVE, HOLLYWOOD, FL 33024-4227
(754) 210-1516
Mailing address
2141 N 62ND AVE, HOLLYWOOD, FL 33024-4227
(754) 210-1516
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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