Individual
KAREN JACOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2500 LAFAMO RD LOT 13, LONGVIEW, TX 75604-9762
(903) 220-2174
Mailing address
2500 LAFAMO RD LOT 13, LONGVIEW, TX 75604-9762
(903) 220-2174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214218
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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