Ms. Jacquline Clemons
Occupational Therapist
625 Ashland St
Archdale
, North Carolina 27263-2943
Ms. Jacquline Clemons
Occupational Therapist
625 Ashland St
Archdale
, North Carolina 27263-2943
(336) 744-5624
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Ms. Jacquline Clemons
- 5543 Frances Ct
- Winston Salem, NC
- Zip : 27105-1772
- Fax : (336) 744-5624
- Phone : (336) 624-3454
Second Address
- Ms. Jacquline Clemons
- 625 Ashland St
- Archdale, NC
- Zip : 27263-2943
- Fax : (336) 434-4477
- Phone : (336) 434-2902
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FAQs
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Is Ms. Jacquline Clemons a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5927 | NC |
National Provider Identifier
| NPI | 1003187451 |
|---|---|
| Provider Name | Ms. Jacquline Clemons |
| First Address | Winston Salem, NC 27105-1772 |
| Second Address | Archdale, NC 27263-2943 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2012 |
| Last Update Date | 17/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.