DEBRA JACOBS MA OTR


Address: 5940 E Placita Alta Reposa, Tucson, AZ 85750-1058
Phone: 5202755044

DEBRA JACOBS MA OTR (NPI# 1942606298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942606298
Entity Type Organization
Organization Name DEBRA JACOBS MA OTR
Practice Address 5940 E Placita Alta Reposa
Tucson
AZ 85750-1058
Practice Telephone 5202755044
Mailing Telephone 5202755044
Enumeration Date 2014-11-14
Last Update Date 2014-11-14
Authorized Official Name MS. DEBRA JACOBS (SOLE PROPRIETOR)
Authorized Official Telephone 5202755044
Authorized Official Credential OTR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
0526 AZ Ambulatory Health Care Facilities

Office Location

Street Address 5940 E PLACITA ALTA REPOSA
City TUCSON
State AZ
Zip Code 85750-1058

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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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Competitor

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City TUCSON
Zip Code 85750

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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