| NPI | 1215392386 |
|---|---|
| Former Name | JACLYN BARTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5676-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056010899) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-17 |