Wicker, Jaclyn Nicol

Wicker, Jaclyn Nicol is an sole proprietor health care provider with primary practice located at 5904 Summerfield Dr , Texarkana TX 75503-4306. 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. Wicker, Jaclyn Nicol can be contacted via phone (903) 793-6135.

Contact Information

Primary practice address
5904 Summerfield Dr Texarkana TX 75503-4306
Phone: (903) 793-6135
Fax: (903) 793-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 117143 Texas

Profile Details

NPI number 1225583578
LBN Legal business name Wicker, Jaclyn Nicol
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2016
Last updated Aug 16th, 2016 - about 10 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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