Individual
TODD JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
66 BROAD ST, WESTFIELD, MA 01085-2927
(413) 562-5464
Mailing address
66 BROAD ST, WESTFIELD, MA 01085-2927
(413) 562-5464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
01/16/2019
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