Individual
BROOKE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
3350 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(407) 846-0152
Mailing address
3223 OLIVIA BREEZE DR, KISSIMMEE, FL 34746-2189
(563) 370-4697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22030
FL
Other
Enumeration date
09/15/2021
Last updated
01/09/2024
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