Female

Jacqueline A. Campbell LRT

Recreation Therapist in Charlotte, NC(View on Map)

Full Name

Jacqueline A Campbell LRT

NPI Number

1275892242

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/11/2012

Specialties

(Taxonomies)

Code

225800000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1100 BLYTHE BLVD
1100 BLYTHE BLVD

City

Charlotte
Charlotte

State

NC
NC

Postal Code

28203-5814
28203-5814

Country

US
US

Telephone Number

(704) 355-4645
(704) 355-4645

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/11/2012

Provider Address

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