Individual
MRS. JESSICA T JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
221 S 12TH ST, 502S, PHILADELPHIA, PA 19107-5556
(215) 667-9311
Mailing address
221 S 12TH ST, 502S, PHILADELPHIA, PA 19107-5556
(215) 667-9311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006057
PA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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