Individual
MELANIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
304 JUDD PLACE DRIVE, FUQUAY VARINA, NC 27526-2210
(919) 557-8305
(919) 557-8306
Mailing address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
(919) 557-8306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6536
NC
Other
Enumeration date
07/25/2007
Last updated
09/25/2014
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