Individual
DR. ADDIE LYN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTD, OTR
Contact information
Practice address
1115 RONALD REAGAN PKWY, AVON, IN 46123-6910
(317) 217-3070
Mailing address
2324 SHADOWBROOK DR, PLAINFIELD, IN 46168-4710
(317) 438-7191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006905A
IN
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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