Individual
JEANNE MIREILLE JACOBI-MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
202 BETZ PL, METAIRIE, LA 70005-4106
(504) 250-9553
(504) 895-4516
Mailing address
202 BETZ PL, METAIRIE, LA 70005-4106
(504) 250-9553
(504) 895-4516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12290
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302686
—
LA
01
—
9440442
PHCS
LA
Enumeration date
03/09/2007
Last updated
07/08/2007
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