Individual
JO ANN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
207 OTTAWA ST, JOHNSTOWN, PA 15904-2337
(814) 266-8621
(888) 510-3360
Mailing address
207 OTTAWA ST, JOHNSTOWN, PA 15904-2337
(814) 266-8621
(888) 510-3360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP000126L
PA
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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