JACLYN WALLACE

WASHINGTON, DC
NPI1497947568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: DC  OT010000416)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: VA  0119004536)
Enumeration Date2007-08-13
Last Update Date2007-08-13
Business Address
-- JACLYN WALLACE
900 23RD ST NW
WASHINGTON, DC 20037-2342
Phone number: 202-715-5277
Mailing Address
-- JACLYN WALLACE
2336 N QUANTICO ST
ARLINGTON, VA 22205-2000
Phone number: