Jacob Holm, OTR/L WCC is a
Occupational Therapist based in Enoch, Utah. Jacob Holm is licensed to practice in Utah (license number 7257853-4201) and his current practice location is
4753 N Pearly Ln, Enoch, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 590-2478.
NPI number for Jacob Holm is 1548621907 and his current mailing address is 4753 N Pearly Ln, Enoch, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548621907.
Healthcare Provider's Profile
| Full Name | Jacob Holm |
|---|
| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 4753 N Pearly Ln, Enoch, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548621907
- Provider Enumeration Date: 03/14/2016
- Last Update Date: 03/14/2016
Medical Identifiers
Medical identifiers for Jacob Holm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548621907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 7257853-4201 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Holm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacob Holm, OTR/L WCC 4753 N Pearly Ln, Enoch, UT 84721-7489 Ph: (435) 590-2478 | Jacob Holm, OTR/L WCC 4753 N Pearly Ln, Enoch, UT 84721-7489 Ph: (435) 590-2478 |
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