Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN VINCENT JACOBSON, PTA
ActiveJOHN VINCENT JACOBSON, PTA is a Occupational Therapist healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1578702916 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1578702916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2009 (17.534354142774 yrs)
- Last Updated
- Aug 18, 2014
- License
-
1515-019 (WI)
Practice Information
- Address
-
6722 HIGHWAY 50LAKE GENEVA, WI, 531473647Browse WI providers · Browse ZIP 53147
- Phone
- 2622482029
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LAKE GENEVA, WI
| Name | Credential | NPI |
|---|---|---|
| DIANE KAY MARCELLO | PTA | 1316170814 |
| AMY CARROLL | PTA | 1306126115 |
| MATTHEW J GEYSO | PTA | 1881941508 |
| BENJAMIN BILKE | — | 1609242759 |
| DANIEL GERBLICK II | — | 1295246304 |
| BREANNA JOHNSON | — | 1134748916 |
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.