Individual provider · Type 1 NPI

Iida Jacobsen

Occupational Therapist · St. Paul, MN

NPI number 1013803246 Active

Practice location

1394 Jackson St
St. Paul, MN 55117-4629

Call (651) 603-8774 Map

Mailing address

3870 Van Dyke St
White Bear Lake, MN 55110-4348

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: 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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013803246

Iida Jacobsen's National Provider Identifier is 1013803246, issued on Jun 16, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 16, 2025.