Individual
CARLY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
37 8TH AVE, BROOKLYN, NY 11217-3901
(718) 636-0545
Mailing address
35 E 35TH ST APT 8G, NEW YORK, NY 10016-3821
(732) 850-0662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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