MRS. Jaclyn Nicol Wicker, OTR

NPI #1225583578 in Texarkana, Texas

Provider Information

NPI Number
1225583578
Entity Type
Individual
Name
MRS. Jaclyn Nicol Wicker, OTR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR
Enumeration Date
Aug 16, 2016
Last Updated
Aug 16, 2016

Practice Location

Address
5904 SUMMERFIELD DR
State
Texas
ZIP Code
75503-4306
Phone
(903) 793-6135

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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