Jacob Colby, OTR/L

NPI #1275176810 in Logan, Utah

Provider Information

NPI Number: 1275176810
Entity Type: Individual
Name: Jacob Colby, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 27, 2019
Last Updated: Oct 27, 2019

Practice Location

Address: 1480 N 400 E
City: Logan
State: Utah
ZIP Code: 84341-7525
Phone: (801) 808-4115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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