Individual
STACEY EVELYN JAKUBOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2352
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12969
MA
225X00000X
Occupational Therapist
48.005444
CT
Other
Enumeration date
04/08/2021
Last updated
05/23/2024
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