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1194238717
JACLYN MARIE DAVIS
BRIDGEPORT, CT
NPI
1194238717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: CT 48.004771)
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
JACLYN MARIE DAVIS OTR/L
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
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Mailing Address
JACLYN MARIE DAVIS OTR/L
200 EVERGREEN AVE APT 8B
HAMDEN, CT 06518-2725
Phone number: 203-506-2321
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