Individual
MRS. ALISON BETH JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
9449 HIGHEDGE DR, DALLAS, TX 75238-2532
(214) 341-2641
Mailing address
9449 HIGHEDGE DR, DALLAS, TX 75238-2532
(214) 341-2641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111392
TX
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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