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Individual
JACOB ISAAC NESSER
Active
Individual
JACOB ISAAC NESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119009824
VA
225X00000X
Occupational Therapist
Primary
5939
OK
225X00000X
Occupational Therapist
OC019050
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119009824
—
VA
05
—
5939
—
OK
05
—
OC019050
—
PA
Enumeration date
02/13/2023
Last updated
11/20/2024
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