Individual
ELIZABETH JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 DAYTON RD, WAYNESVILLE, OH 45068-9588
(513) 897-2761
Mailing address
9250 ONE DEERFIELD PL, MASON, OH 45040-3523
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT012551
OH
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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