Individual
JOANNA ELIZABETH JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7232 ROCK RIDGE AVE, HARRISBURG, PA 17112-8107
(717) 364-4360
Mailing address
7232 ROCK RIDGE AVE, HARRISBURG, PA 17112-8107
(717) 364-4360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006869
PA
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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