Individual
DEENA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 AVENUE M, BROOKLYN, NY 11210-5422
(917) 689-7070
Mailing address
3306 AVENUE M, BROOKLYN, NY 11210-5422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019123
NY
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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