Individual
MRS. MICHELE LEIGH JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 W 140TH ST STE 201, BURNSVILLE, MN 55337-4480
(952) 808-3000
(952) 808-3001
Mailing address
4200 DAHLBERG DRIVE, SUITE 300, GOLDEN VALLEY, MN 55422
(952) 512-5637
(952) 345-7707
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
102354
MN
Other
Enumeration date
09/20/2006
Last updated
01/07/2014
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