Individual
JACLYN L BOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
195 SPRINGBROOK AVE, CLAYTON, NC 27520
(919) 550-7200
Mailing address
195 SPRINGBROOK AVE, CLAYTON, NC 27520-8105
(919) 550-7200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13287
NC
Other
Enumeration date
07/24/2019
Last updated
10/28/2024
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