Individual
JUDY JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2132 TUCKERBUNN DR, CHARLOTTE, NC 28270-9794
(901) 219-9292
Mailing address
2132 TUCKERBUNN DR, CHARLOTTE, NC 28270-9794
(901) 219-9292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5609
NC
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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