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Individual

MRS. JACLYN WOOTERS PETUYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
23 FOREST CREEK DR, HOCKESSIN, DE 19707-2017
(302) 540-7006
Mailing address
23 FOREST CREEK DR, HOCKESSIN, DE 19707-2017
(302) 540-7006

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003076
DE

Other

Enumeration date
09/27/2015
Last updated
12/30/2021
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