Individual
KATHERINE MARIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
35 STATE AVE, FARIBAULT, MN 55021-6368
(507) 497-3790
Mailing address
11214 204TH ST W, LAKEVILLE, MN 55044-4696
(402) 677-6835
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MN
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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