Biju Jacob, COTA

NPI #1184105470 in Desoto, Texas

Provider Information

NPI Number
1184105470
Entity Type
Individual
Name
Biju Jacob, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Aug 24, 2018
Last Updated
Aug 24, 2018

Practice Location

Address
940 YORK DR
City
Desoto
State
Texas
ZIP Code
75115-2042
Phone
(972) 572-6200

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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