NPI 1053299016

Courtney Jacob

Practitioner Pediatric Occupational Therapist Bend, OR

Practice location

Address: 120 SW Crowell Way STE 100, Bend, OR 97702-3429
Phone: (541) 617-8769
Mailing address: 62909 Nasu Park Loop, Bend, OR 97701-9775

Registered specialties

Pediatric Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence 455975 (OR)

Other Occupational Therapist providers in Oregon →

Registry record

NPI: 1053299016
Entity type: Individual
Sex (as registered): X
NPI issued: 26 Aug 2025
Record last updated: 26 Aug 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.