NPI 1053789115

Codi Jacobsen

Practitioner Developmental Therapist Oro Valley, AZ

Practice location

Address: 1846 E Innovation Park Dr STE 100, Oro Valley, AZ 85755-1963
Phone: (888) 880-9270
Mailing address: 500 Fairway Dr STE 102, Deerfield Beach, FL 33441-1817

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Arizona →

Registry record

NPI: 1053789115
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2015
Record last updated: 7 Sep 2015

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.