Individual
MRS. CARRIE JONES JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6012 MAGNOLIA BEACH RD, PANAMA CITY, FL 32408-7065
(850) 236-0510
Mailing address
16989 NW EG BUCK LARKINS RD, BRISTOL, FL 32321-3976
(850) 294-1183
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15256
FL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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