Individual provider · Type 1 NPI

Addie Lyn Jacobs, MS, OTD, OTR

Occupational Therapist · Avon, IN

NPI number 1750087573 Active

Practice location

1115 Ronald Reagan Pkwy
Avon, IN 46123-6910

Mailing address

2324 Shadowbrook Dr
Plainfield, IN 46168-4710

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X31006905A (IN)

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 1750087573

Addie Lyn Jacobs, MS, OTD, OTR's National Provider Identifier is 1750087573, issued on Feb 2, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Avon, IN. The record was last updated on Feb 2, 2023.