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Individual

JACLYNN LOUISE BESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
4152 WHIM SHAFT DR, LINCOLNTON, NC 28092-7319
(908) 334-9506
Mailing address
4152 WHIM SHAFT DR, LINCOLNTON, NC 28092-7319
(908) 334-9506

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7740
NC
225XP0200X
Pediatric Occupational Therapist
4126
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP6269
SC
05
TH2654
SC
Enumeration date
06/06/2011
Last updated
07/11/2019
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