Daisy Jacobo, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Noel, MO
NPI 1912465972 · NPPES record last updated Mar 8, 2019
Key facts
- NPI
- 1912465972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 171 Huntley LN
Noel, MO 64854-9383 - Phone
- (479) 866-5062
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | AR | Yes |
Addresses
Primary practice location
171 Huntley LN
Noel, MO 64854-9383
Mailing address
171 Huntley LN
Noel, MO 64854-9383
Phone (479) 866-5062
Other providers in Noel, MO
- Anita Bailey
- Rae Anna Beauford
- Roberto Carlos Correa
- Joslyn Grace Harris
- Ryan Lawson
- Karen Madsen
- Rosa Montero Maldonado
- Noel Pharmacy LLC
- Ozark Tri-County Health Care Consortium
All providers in Noel, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.