Individual
MRS. KIMBERLY S JACOBSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
555 RAILROAD DR NW, ELK RIVER, MN 55330-1444
(763) 441-8111
(763) 441-9015
Mailing address
11750 51ST AVE N, PLYMOUTH, MN 55442-2144
(763) 559-1696
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
100435
MN
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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