Individual
KATHRYN ELLEN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 FORTUNE BLVD, MILFORD, MA 01757-1723
(202) 262-3027
Mailing address
375 FORTUNE BLVD, MILFORD, MA 01757-1723
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/29/2023
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