Individual
JANELLE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5695 BLAINE AVE, INVER GROVE HEIGHTS, MN 55076-1226
(651) 554-9940
(651) 554-9941
Mailing address
5695 BLAINE AVE, INVER GROVE HEIGHTS, MN 55076-1226
(651) 554-9940
(651) 554-9941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201297
MN
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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