Individual provider · Type 1 NPI

Jacqueline Clemons, LOTR

Occupational Therapist · Archdale, NC

NPI number 1003187451 Active

Practice location

625 Ashland St
Archdale, NC 27263-2943

Fax (336) 434-4477

Mailing address

5543 Frances Ct
Winston Salem, NC 27105-1772

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5927 (NC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

4 other providers at this address

About NPI 1003187451

Jacqueline Clemons, LOTR's National Provider Identifier is 1003187451, issued on Jan 17, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Archdale, NC. The record was last updated on Jan 22, 2026.