Individual
MRS. KELLI POLLOCK JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
300 ROYAL PALM WAY, PALM BEACH, FL 33480-4305
(561) 655-7266
Mailing address
533 LIGHTHOUSE DR, NORTH PALM BEACH, FL 33408-4319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4281
OT LICENSE NUMBER FLORIDA
FL
05
—
8823201
—
FL
Enumeration date
02/27/2007
Last updated
07/08/2007
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