Individual
JACOB STEWART ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, OTR/L
Contact information
Practice address
700 EAST PARKER ROAD, PO DRAWER 989, MORGANTON, NC 28655-4647
(828) 439-4332
(828) 439-4314
Mailing address
2391 BURKE MEMORIAL PARK RD, VALDESE, NC 28690-9534
(304) 917-1801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12625
NC
225X00000X
Occupational Therapist
1738
WV
225X00000X
Occupational Therapist
OTR2444
AR
Other
Enumeration date
08/24/2011
Last updated
03/17/2026
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