Individual
JACLYN SUE RATZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4724960001
PALMETTO GBA DMERC
TX
Enumeration date
04/26/2006
Last updated
09/15/2008
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