Individual
ELISA ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
GOLISANO RESTORATIVE NEUROLOGY & REHAB, 1555 LONG POND RD, ROCHESTER, NY 14626
(585) 755-6764
Mailing address
224 PINEWOOD TRL, ROCHESTER, NY 14617-2624
(585) 755-6764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004403-1
NY
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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