Individual
CAROLINE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2999 OLYMPUS BLVD STE 500, COPPELL, TX 75019-1205
(866) 871-8519
Mailing address
7507 HUNTERS POINT DR, SUGAR LAND, TX 77479-6477
(281) 660-1833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123742
TX
225X00000X
Occupational Therapist
OT26015
CA
225X00000X
Occupational Therapist
OTH-009625
AZ
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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