| Jaclyn Baltera, | |
|
100 Sunset Dr, Youngsville, NC 27596-9403 | |
| (919) 562-5550 | |
| Not Available |
| Full Name | Jaclyn Baltera |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 100 Sunset Dr, Youngsville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326441007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 14304 (North Carolina) | Primary |
| Provider Name | Comprehensive Therapeutics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619575651 PECOS PAC ID: 8921230137 Enrollment ID: O20201130001750 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Baltera, 441 Slomo Ct, Wake Forest, NC 27587-3534 Ph: () - | Jaclyn Baltera, 100 Sunset Dr, Youngsville, NC 27596-9403 Ph: (919) 562-5550 |
Chelsea Lee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Oxer Dr, Youngsville, NC 27596 Phone: 937-903-0047 | |
Jordan Flowe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Sunset Dr, Youngsville, NC 27596 Phone: 919-562-5550 | |
Fun In Function, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14101 Capital Blvd Ste 135, Youngsville, NC 27596 Phone: 336-263-4982 |