Jan Jacobsen in San Jose - Occupational Therapist
Jan Jacobsen - NPI 1063570612
Jan Jacobsen is a Occupational Therapist in San Jose, California. Jan Jacobsen practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jan Jacobsen is 1063570612. The last update date is 2007-07-08.
Jan Jacobsen's current location address is 6055 Meridian Ave Ste 110, San Jose, California. You can contact this provider via phone number 4089270871 and fax number 4089270891. The mailing address for Jan Jacobsen is 6055 Meridian Ave Ste 110, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Jacobsen |
|---|---|
| Address | 6055 Meridian Ave Ste 110, San Jose, California |
| Phone Number | 4089270871 |
| Fax Number | 4089270891 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1063570612 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6055 Meridian Ave Ste 110 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951202700 |
| Phone Number | 4089270871 |
| Fax Number | 4089270891 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 3894831 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3894831 | CA | CA OT LICENSE |
Post Comment/ Review Below
What is the Jan Jacobsen's unique identification number?
The Jan Jacobsen has been assigned the NPI (National Provider Identifier) Number 1063570612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jan Jacobsen is physically located?
The Jan Jacobsen is physically situated at the following address: 6055 Meridian Ave Ste 110, San Jose, CA, 951202700.
What is Jan Jacobsen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jan Jacobsen is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
On what date was the 1063570612 assigned to Jan Jacobsen?
The Jan Jacobsen was issued its 1063570612 on 2006-12-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jan Jacobsen last refreshed?
The information related to the Jan Jacobsen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.