Individual
MRS. JOYCE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,O.T.R.
Contact information
Practice address
7899 BRISTOL WAY, NEW PALESTINE, IN 46163-8786
(317) 440-3690
(317) 861-9329
Mailing address
7899 BRISTOL WAY, NEW PALESTINE, IN 46163-8786
(317) 440-3690
(317) 861-9329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200612430
—
IN
Enumeration date
03/19/2007
Last updated
06/10/2008
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