Individual
DALIA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
966 E 29TH ST, BROOKLYN, NY 11210-3738
(347) 583-1782
Mailing address
966 E 29TH ST, BROOKLYN, NY 11210-3738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012409-1
NY
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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