Provider Demographics
NPI:1740940022
Name:PARSEGHIAN, JACLYN (OTR/L)
Entity type:Individual
Prefix:
First Name:JACLYN
Middle Name:
Last Name:PARSEGHIAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JACKIE
Other - Middle Name:
Other - Last Name:PARSEGHIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:306 DUNSTABLE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1023
Mailing Address - Country:US
Mailing Address - Phone:617-909-9902
Mailing Address - Fax:
Practice Address - Street 1:319 E DUNSTABLE RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-4207
Practice Address - Country:US
Practice Address - Phone:603-888-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14281225X00000X
NH3244225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist