Healthcare Provider Details

I. General information

NPI: 1629948443
Provider Name (Legal Business Name): JACKLYN LEE VOYTKO DUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 S MAIN ST
MUNROE FALLS OH
44262-1665
US

IV. Provider business mailing address

27413 WESTOWN BLVD APT 1610
WESTLAKE OH
44145-4547
US

V. Phone/Fax

Practice location:
  • Phone: 330-634-9919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT012933
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: