Individual
LANA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216266
TX
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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