Individual
MICHELLE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1210 EASTERN AVE, NASHVILLE, NC 27856-1817
(252) 462-0070
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
15523
FL
225X00000X
Occupational Therapist
Primary
15687
NC
225X00000X
Occupational Therapist
46TR0052800
NJ
225X00000X
Occupational Therapist
6638
SC
225X00000X
Occupational Therapist
OC015295
PA
Other
Enumeration date
01/12/2013
Last updated
02/03/2023
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