Individual
AMY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1850 S HOVER ST, LONGMONT, CO 80501-6982
(720) 233-5070
Mailing address
1894 WRIGHT DR, ERIE, CO 80516-2588
(720) 233-5070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007504
CO
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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