Individual
JENNIFER JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
905 E SHERMAN ST, HUTCHINSON, KS 67501-3060
(785) 543-8154
Mailing address
905 E SHERMAN ST, HUTCHINSON, KS 67501-3060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800925
KS
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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