Organization
JACOBSEN THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY BETH JACOBSEN MA,OTR-L (OWNER)
(402) 371-7545
Entity
Organization
Contact information
Practice address
2108 TAYLOR AVE, SUITE 1100, NORFOLK, NE 68701-4641
(402) 371-7545
(402) 379-0583
Mailing address
2108 TAYLOR AVE, SUITE 1100, NORFOLK, NE 68701-4641
(402) 371-7545
(402) 379-0583
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
460
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025464700
—
NE
01
—
DG0558
RAILROAD MEDICARE
NE
01
—
F252114
MIDLANDS CHOICE
NE
Enumeration date
11/30/2006
Last updated
07/09/2013
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