Individual
MRS. KELLEY LYNN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4314 WESTBROOKE DR, FORT COLLINS, CO 80526-3454
(303) 847-6410
(970) 207-1766
Mailing address
4314 WESTBROOKE DR, FORT COLLINS, CO 80526-3454
(303) 847-6410
(970) 207-1766
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1346
CO
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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