National Provider Identifier
Richard Jacobsen, OCCUPATIONAL THERAPI
Richard Jacobsen, OCCUPATIONAL THERAPI is listed in the NPPES registry with a primary specialty of Occupational Therapist in Canandaigua, NY and a listed phone number of (585) 394-2000.
Profile Overview
- NPI
- 1467547117
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 04, 2006
- Last Updated
- July 08, 2007
Practice Location
- 400 Fort Hill
- Va Hospital
- Canandaigua, NY 14424
Phone: (585) 394-2000
Mailing Address
- 111 Wilson Street
- Newark, NY 14513
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1467547117
- Entity Type
- Individual
- Last Name
- Jacobsen
- First Name
- Richard
- Credential
- OCCUPATIONAL THERAPI
- Mailing Street Address
- 111 Wilson Street
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513
- Mailing Country
- US
- Mailing Phone
- (315) 331-3162
- Practice Street Address
- 400 Fort Hill
- Practice Address Line 2
- Va Hospital
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424
- Practice Country
- US
- Practice Phone
- (585) 394-2000
- Enumeration Date
- October 04, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)