Beth Anne Jacob, OTR/L
Occupational Therapist in Boise, ID. Individual provider (NPI-1).
NPI number1114257524
StatusActive
Last updated in NPPESJun 24, 2013
Details
- NPI
- 1114257524
- Entity type
- Individual (NPI-1)
- Name
- Ms. Beth Anne Jacob
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2010
- Last updated
- Jun 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
405 W Myrtle StBoise, ID 83702-7658
Phone 208-489-5880
Mailing address
2820 N Pauley DrBoise, ID 83704-6034
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All 164 Occupational Therapist providers in Boise · All 12,265 providers in Boise
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