Individual
ALEXIS IACOBUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
834 E HIGH AVE, NEW PHILADELPHIA, OH 44663-3052
(330) 308-9939
Mailing address
834 E HIGH AVE, NEW PHILADELPHIA, OH 44663-3052
(330) 308-9939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008721
OH
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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