Individual
COURTNEY JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 WILLIAM ST, NEW YORK, NY 10038-2609
(121) 228-1653
Mailing address
320 E 46TH ST APT 16A, NEW YORK, NY 10017-3025
(240) 678-3449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
025893
NY
225XP0200X
Pediatric Occupational Therapist
Primary
025893
NY
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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