Individual
JAMIE FRANCES JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
5115 STATE ROAD 13 N, SAINT AUGUSTINE, FL 32092-1422
(904) 759-1709
Mailing address
5115 STATE ROAD 13 N, SAINT AUGUSTINE, FL 32092-1422
(904) 759-1709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056009380
IL
225X00000X
Occupational Therapist
63017211
NY
225X00000X
Occupational Therapist
Primary
OT14338
FL
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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