Individual
JENA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
9880 ANGIES WAY, LOUISVILLE, KY 40241-2851
(502) 339-6490
Mailing address
9880 ANGIES WAY, LOUISVILLE, KY 40241-2851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
279658
KY
225X00000X
Occupational Therapist
31008433A
IN
Other
Enumeration date
09/30/2022
Last updated
01/30/2025
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