Individual
JILL MARIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
(952) 460-4960
Mailing address
150 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
(952) 460-4960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105112
MN
Other
Enumeration date
03/16/2016
Last updated
01/25/2019
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