Individual
JACLYN SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
45 STRACK DR, MYERSTOWN, PA 17067-2157
(717) 926-7880
Mailing address
45 STRACK DR, MYERSTOWN, PA 17067-2157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11713
CA
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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