Individual
JACLYNNE DANIELLE VAN OOTEGHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 LEMMON AVE APT 2126, DALLAS, TX 75204-1817
(972) 251-0487
Mailing address
3223 LEMMON AVE APT 2126, DALLAS, TX 75204-1817
(972) 251-0487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120563
TX
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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