Klekota, Jacqueline Marie

Klekota, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 4413 Gannon Rd , Portsmouth VA 23703-4830. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Klekota, Jacqueline Marie can be contacted via phone (757) 735-1478.

Contact Information

Primary practice address
4413 Gannon Rd Portsmouth VA 23703-4830
Phone: (757) 735-1478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119004094 Virginia

Profile Details

NPI number 1629226238
LBN Legal business name Klekota, Jacqueline Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2008
Last updated Sep 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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