Individual
DYLAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6924 W LINEBAUGH AVE, TAMPA, FL 33625-5800
(813) 962-6766
Mailing address
1019 OSAGE ST, CLEARWATER, FL 33755-1837
(727) 453-8895
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/10/2017
Last updated
12/10/2017
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