Individual
BERNADETTE ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4952
SC
225X00000X
Occupational Therapist
OT004705
GA
Other
Enumeration date
08/31/2010
Last updated
12/13/2017
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