Individual
GINA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
55 WALLS DR STE 204, FAIRFIELD, CT 06824-5163
(203) 255-0682
Mailing address
52 STERLING RD, TRUMBULL, CT 06611-2302
(203) 581-4120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004206
CT
Other
Enumeration date
01/16/2019
Last updated
08/06/2025
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