Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY BETH JACOBSON, PTA
Active Sole ProprietorMRS. MARY BETH JACOBSON, PTA is a Occupational Therapist healthcare provider located in NORTH FREEDOM, Wisconsin. NPI 1992817928 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · NORTH FREEDOM, WI
Registration Details
- NPI Number
- 1992817928
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.926674859408 yrs)
- Last Updated
- Jul 8, 2007
- License
-
#681-019 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
E11016A GROTH RDNORTH FREEDOM, WI, 539519727Browse WI providers · Browse ZIP 53951
- Phone
- 6086449082
- Primary Specialty
-
Occupational Therapist
225200000X
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.