Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB HOLM, OTR/L WCC
Active Sole ProprietorJACOB HOLM, OTR/L WCC is a Occupational Therapist healthcare provider located in ENOCH, Utah. NPI 1548621907 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ENOCH, UT
Registration Details
- NPI Number
- 1548621907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2016 (10.428828613183 yrs)
- Last Updated
- Mar 14, 2016
- License
-
7257853-4201 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4753 N PEARLY LNENOCH, UT, 847217489Browse UT providers · Browse ZIP 84721
- Phone
- 4355902478
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.