SearchNew Mexico224Z00000X

Tammie Jacobs, COTA/L

NPI 1427375542 · on the registry since 2010 · sole proprietor

Practice

Address
3624 Cr 12
Melrose, NM 88124
Phone
(575) 760-0978

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico