Amy Anna Jacob, COTA

NPI #1730347006 in Lone Rock, Wisconsin

Provider Information

NPI Number
1730347006
Entity Type
Individual
Name
Amy Anna Jacob, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
May 23, 2008
Last Updated
May 23, 2008

Practice Location

Address
27672 ONION HOLLOW LANE
ZIP Code
53556-9002
Phone
(608) 475-9151

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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