Individual
MRS. JACLYN MICHELLE PACETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6405 NW 36TH ST, SUITE #105, VIRGINIA GARDENS, FL 33166-6974
(305) 856-1999
Mailing address
6405 NW 36TH ST, SUITE #105, VIRGINIA GARDENS, FL 33166-6974
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23491
FL
Other
Enumeration date
08/28/2012
Last updated
11/09/2013
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