Search › South Carolina › 224Z00000X

Jaclene Mathis, COTA/L

NPI 1598215055 · on the registry since 2016

Practice

Address
3025 Ashley Phosphate Rd Ste C1b
North Charleston, SC 29418
Phone
(843) 568-2932
Clinicians at this address
2

Additional practice sites

  • 524 Pleasant Side Dr, Moncks Corner, SC

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina