Individual
CINDY LOU JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9985 AMSDEN WAY, EDEN PRAIRIE, MN 55347-3016
(952) 797-2169
Mailing address
9985 AMSDEN WAY, EDEN PRAIRIE, MN 55347-3016
(952) 797-2169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103099
MN
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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