Whalio Doctors

NPI 1316255318

Jaclyn K Bovino, COTAL

Practitioner Occupational Therapy Assistant Summerville, SC

Practice location

Address
950 Travelers Blvd, Summerville, SC 29485-8287
Phone
(843) 638-3239
Mailing address
950 Travelers Blvd, Summerville, SC 29483-3030

Registered specialties (2)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3692 (SC)
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 001191 (CT)

Registry record

NPI
1316255318
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Sep 2010
Record last updated
2 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.