Provider Demographics
NPI:1396716247
Name:JACOBSON, SHEILA (OT)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:JACOBSON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 ALVORD PARK RD
Mailing Address - Street 2:LITCHFIELD HILLS ORTHOPEDIC ASSOCIATES, LLP
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3493
Mailing Address - Country:US
Mailing Address - Phone:860-585-3558
Mailing Address - Fax:860-482-0257
Practice Address - Street 1:245 ALVORD PARK RD
Practice Address - Street 2:LITCHFIELD HILLS ORTHOPEDIC ASSOCIATES, LLP
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-3493
Practice Address - Country:US
Practice Address - Phone:860-585-3558
Practice Address - Fax:860-482-0257
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000503225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist