NPI 1013803246
Iida Jacobsen
Practice location
- Address
- 1394 Jackson St, Saint Paul, MN 55117-4629
- Phone
- (651) 603-8774
- Mailing address
- 3870 van Dyke St, White Bear Lake, MN 55110-4348
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1013803246
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jun 2025
- Record last updated
- 16 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.