Individual
JACLYN CHRISTOFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 940-3557
(336) 940-3557
Mailing address
430 WILLOW RIDGE LN, WINSTON SALEM, NC 27127-9239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6893
NC
Other
Enumeration date
12/12/2011
Last updated
03/06/2018
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