ELLEN M JACOBSEN

CAPE CORAL, FL
NPI1467577080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT8946)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IN  31001927A)
225X00000X Occupational Therapist
(Licence: WI  4443-026)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- ELLEN M JACOBSEN
2323 DEL PRADO BLVD #7
CAPE CORAL, FL 33990-4640
Phone number: 239-822-6249
Mailing Address
-- ELLEN M JACOBSEN
2323 DEL PRADO BLVD #7
CAPE CORAL, FL 33990-4640
Phone number: 239-822-6249