Theresa Jacobs
NPI #1871225045 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1871225045
- Entity Type
- Individual
- Name
- Theresa Jacobs
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jun 27, 2022
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 27 AUERBACH PL
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1596
- Phone
- (618) 288-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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