Individual
ANNA K JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-0808
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103763
MN
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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