Jaclyn Lane
Jaclyn Lane is an Occupational Therapist in Watertown, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
20104 Nys Rt 3Watertown, NY 13601-5560
Phone: (315) 779-7100
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 012604 (NY) |
|---|
Record details
| NPI number | 1063797926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 11, 2011 |
| Last updated in NPPES | October 11, 2011 |
| Mailing address | 20104 Nys Rt 3, Watertown, NY 13601-5560 |
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