Individual
JACLYN JACOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3385 DEXTER CT STE 301, DAVENPORT, IA 52807-3471
(563) 344-6645
(563) 441-7796
Mailing address
3385 DEXTER CT STE 301, DAVENPORT, IA 52807-3471
(563) 344-6645
(563) 441-7796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001877
IA
225X00000X
Occupational Therapist
056010073
IL
Other
Enumeration date
01/13/2014
Last updated
10/26/2021
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