Individual
JENNIFER LEE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3035 CHERRY ST, HOQUIAM, WA 98550-3007
(360) 332-7882
Mailing address
3035 CHERRY ST, HOQUIAM, WA 98550-3007
(360) 332-7882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60270461
WA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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