Iida Jacobsen

NPI #1013803246 in Saint Paul, Minnesota

Provider Information

NPI Number: 1013803246
Entity Type: Individual
Name: Iida Jacobsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 16, 2025
Last Updated: Jun 16, 2025

Practice Location

Address: 1394 JACKSON ST
City: Saint Paul
State: Minnesota
ZIP Code: 55117-4629
Phone: (651) 603-8774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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