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Contact Information

MARY LYNN JACOBS, OT
101 UNIVERSITY DR
SUITE A-6
AMHERST, MA01002-2473
 Phone: 413-366-5703
 Fax: 413-992-2019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARY LYNN JACOBS · (Female)

NPI Number 1487739637
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 10/26/2006
Last updated 05/03/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1391
  • MA Medicaid 0389005
  • MA Medicaid 9715568
  • Other 110001391MA02 ANTHEM
  • Other 11222870 CAQH
  • Other P328227 OXFORD
  • MA Other 043527497 AETNA
  • MA Other 4214936 AETNA-INDIV #
  • MA Other OG0011 BC BS GROUP #
  • MA Other OT0046 BC/BS INDIV PROVIDER #
  • MA Other 000000035317 BOSTON HEALTNET
  • MA Other 043527497 CIGNA
  • MA Other 7710306 CIGNA INDIV #
  • MA Other 043527 CONNECTICARE
  • MA Other 043527497 CONSOLIDATED
  • MA Other 103355100 DEPT OF LABOR
  • MA Other 043527497 GREATWEST
  • MA Other 972730 NETWORK HEALTH
  • MA Other 043527497 NORTH REGIONS CLAIMS
  • MA Other 670001710 RAILROAD MEDICARE
  • MA Other 690675 TUFTS
  • MA Other 469635 TUFTS-IND #
  • MA Other 043527497 UNICARE/GIC
  • MA Other 043527497 UNITED HEALTH CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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