NPI 1356657688

Julie Elaine Jacobson

Practitioner Developmental Therapist Carbondale, IL

Practice location

Address: 1311b Springer Ridge Rd, Carbondale, IL 62902-7902
Phone: (573) 489-8236

Registered specialties

Developmental Therapist Primary

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

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Registry record

NPI: 1356657688
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2010
Record last updated: 24 Aug 2010

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.