Individual
MRS. YOCHEVED JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,OTR
Contact information
Practice address
1510 39TH ST, BROOKLYN, NY 11218-4414
(718) 854-8844
Mailing address
1381 E 34TH ST, BROOKLYN, NY 11210-5427
(917) 612-5232
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006745-1
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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