| NPI | 1376104026 |
|---|---|
| Doing Business As | OT OUTDOORS |
| Entity Type | Organization |
| Authorized Contact | CARRIE RENE JACOBS Occupational Therapist Owner 858-945-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |