Individual
MS. CARRIE RENE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M,OTR/L
Contact information
Practice address
1461 MERRITT DR, EL CAJON, CA 92020-7862
(858) 945-3243
Mailing address
1461 MERRITT DR, EL CAJON, CA 92020-7862
(858) 945-3243
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6120
CA
Other
Enumeration date
12/06/2012
Last updated
12/19/2012
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