Organization
DEBRA JACOBS MA OTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA JACOBS OTR (SOLE PROPRIETOR)
(520) 275-5044
Entity
Organization
Contact information
Practice address
5940 E PLACITA ALTA REPOSA, TUCSON, AZ 85750-1058
(520) 275-5044
Mailing address
5940 E PLACITA ALTA REPOSA, TUCSON, AZ 85750-1058
(520) 275-5044
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
0526
AZ
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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