Most Relevant Information
Provider Data
| NPI Number: | 1003323650 |
| Provider Name: | ONICA ANNE JACOBS OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XG0600X |
| Specialty: | Occupational Therapist |
| License Number: | 089282 |
Most Important Dates
| Enumeration Date: | 01/04/2018 |
| Last Updated: | 01/04/2018 |
Provider Practice Location
1301 SAINT LUKE DR
SPENCER
IA
513016043
Practice Location Phone/Fax
| Phone: | 7122625931 |
| Fax: | 7122624743 |
Provider Mailing Location
141 N 1ST AVE W
HARTLEY
IA
513461123
Provider Mailing Phone/Fax
| Phone: | 7123635582 |
| Fax: |