Individual provider · Type 1 NPI
Marileen Ann Jacobs
Orthotic Fitter · Coeur D Alene, ID
NPI number
1023019494
Active
Practice location
1512 E Gilbert Ave
Coeur D Alene, ID 83815-6216
Fax (208) 667-4733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotic Fitter Primary | 225000000X | None listed |
Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.
About NPI 1023019494
Marileen Ann Jacobs's National Provider Identifier is 1023019494, issued on Aug 9, 2005. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2007.