Individual
MARSHA R JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5900 MEADOW CREEK DR, MILFORD, OH 45150-5641
(513) 248-1655
Mailing address
6692 RAES CREEK CT, LOVELAND, OH 45140-8395
(513) 746-7395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0616533
—
OH
Enumeration date
07/13/2007
Last updated
07/13/2007
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