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Amy Jacob, COTA

NPI 1730347006 · on the registry since 2008 · sole proprietor

Practice

Address
27672 Onion Hollow Lane
Lone Rock, WI 53556
Phone
(608) 475-9151

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin