Individual provider · Type 1 NPI

Jaclyn A. Lauderback, OTR/L

Occupational Therapist · Wheaton, IL

NPI number 1790368652 Active

Practice location

26W171 Roosevelt Rd
Wheaton, IL 60187-6002

Call (630) 909-7150 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.007897 (IL)

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…

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About NPI 1790368652

Jaclyn A. Lauderback, OTR/L's National Provider Identifier is 1790368652, issued on Apr 29, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wheaton, IL. The record was last updated on Apr 29, 2021.