Individual
KATIE DANIELLE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17199 HAPPY HOLLOW RD, JAMESTOWN, MO 65046-2458
(573) 881-5283
Mailing address
17199 HAPPY HOLLOW RD, JAMESTOWN, MO 65046-2458
(573) 881-5283
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006002890
MO
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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