Individual
MR. JACOB OWEN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
245 BILLINGS RD, QUINCY, MA 02170-2105
(860) 227-6955
Mailing address
245 BILLINGS RD, QUINCY, MA 02170-2105
(860) 227-6955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
36377
MA
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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