JACKLYN NUCKOLS
Occupational Therapy Assistant
Active
Individual
NPI: 1760172845
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | C2433 (WV) |
Frequently Asked Questions
NPI 1760172845 is the National Provider Identifier for JACKLYN NUCKOLS, a Occupational Therapy Assistant provider located in Ansted, WV. This NPI was enumerated on May 11, 2023.
JACKLYN NUCKOLS practices at 96 TYREE ST, Ansted, WV 25812.
Quick Facts
- NPI
- 1760172845
- Type
- Individual
- Enumerated
- May 11, 2023
- Last Updated
- May 11, 2023
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