Individual
ANNA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 MICHAELA WAY, TALLAHASSEE, FL 32303
(850) 694-8646
Mailing address
6040 MICHAELA WAY, TALLAHASSEE, FL 32303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16700
FL
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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