Individual provider · Type 1 NPI

Codi Jacobsen

Developmental Therapist · Oro Valley, AZ

NPI number 1053789115 Active

Practice location

1846 E Innovation Park Dr Ste 100
Oro Valley, AZ 85755-1963

Call (888) 880-9270 Map

Mailing address

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1053789115

Codi Jacobsen's National Provider Identifier is 1053789115, issued on Sep 7, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Oro Valley, AZ. The record was last updated on Sep 7, 2015.