Individual
JILL MARIE KLUCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
700 HOWIE MINE RD, WAXHAW, NC 28173-9715
(704) 243-7640
Mailing address
8422 DIANTHUS CT UNIT 104, CHARLOTTE, NC 28277-4099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8107
NC
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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