| NPI | 1720100944 |
|---|---|
| Former Name | JACKLYN D KAMMERER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0000829) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 05850) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-02-07 |