Individual
MISS CHRISTINA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
41 RICKEL RD, SUN PRAIRIE, WI 53590-1840
(608) 837-8529
Mailing address
41 RICKEL RD, SUN PRAIRIE, WI 53590-1840
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5672-26
WI
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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