IndividualActive
Addie Jacobs, MS, OTD, OTR
NPI 1750087573 · Occupational Therapist · Avon, IN
Provider details
- NPI number
- 1750087573
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, OTD, OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 31006905A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1115 Ronald Reagan Pkwy
Avon, IN 46123-6910
Phone: (317) 217-3070
Approximate (ZIP-level) locationGet directions
Mailing address
2324 Shadowbrook Dr
Plainfield, IN 46168-4710
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.