NPI 1063064384

Patricia Jacobs

Practitioner Developmental Therapist Meridian, ID

Practice location

Address: 3800 W Perugia St APT V108, Meridian, ID 83642-4966
Phone: (208) 964-4532

Registered specialties

Developmental Therapist Primary

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

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Registry record

NPI: 1063064384
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2019
Record last updated: 16 Jul 2019

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.