Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA JACOBS
Active Sole ProprietorTHERESA JACOBS is a Occupational Therapy Assistant healthcare provider located in GLEN CARBON, Illinois. NPI 1871225045 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · GLEN CARBON, IL
Registration Details
- NPI Number
- 1871225045
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2022 (4.1315232964807 yrs)
- Last Updated
- Jun 27, 2022
- License
-
057002769 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27 AUERBACH PLGLEN CARBON, IL, 620341596Browse IL providers · Browse ZIP 62034
- Phone
- 6182883700
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in GLEN CARBON, IL
| Name | Credential | NPI |
|---|---|---|
| MELISSA EILEEN SUERMANN | COTA/L | 1093314593 |
| MELISSA S BRUHN | — | 1346992682 |
| LINETTE PIPKIN | COTA/L | 1619657384 |
| KYLE MINOR KINDER | — | 1295583516 |
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.