Individual
JAYNE HECK HACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11800 HARFORD RD, GLEN ARM, MD 21057-9353
(443) 604-8505
Mailing address
11800 HARFORD RD, GLEN ARM, MD 21057-9353
(443) 604-8505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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