Individual
REBECCA ARIEL JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
282 WASHINGTON ST STE 2F, HARTFORD, CT 06106-3322
(860) 545-9642
Mailing address
282 WASHINGTON ST STE 2F, HARTFORD, CT 06106-3322
(267) 229-5812
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4715-SP--AU
MA
Other
Enumeration date
08/15/2017
Last updated
04/25/2024
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