Individual
JACQUELINE PAIGE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1621 TELEGRAPH RD, WILMINGTON, DE 19804-4113
(302) 434-6087
Mailing address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 552-3796
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
U1-0001706
DE
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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