Individual
JACOB A BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2237 E CATHY CT, GILBERT, AZ 85296-3942
(480) 603-6995
Mailing address
2237 E CATHY CT, GILBERT, AZ 85296-3942
(480) 603-6995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5065
AZ
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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