Individual
JACLYN PASEK IAFRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4123 KUYKENDALL RD, CHARLOTTE, NC 28270-4449
(704) 708-9931
Mailing address
129 BARCLAY DR, WAXHAW, NC 28173-0065
(704) 606-0184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3482
NC
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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