Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Jacobs

Individual provider Occupational Therapy Assistant · NPI 1871225045

Theresa Jacobs is an Occupational Therapy Assistant in Glen Carbon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

27 Auerbach Pl
Glen Carbon, IL 62034-1596
Phone: (618) 288-3700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057002769 (IL)

Record details

NPI number1871225045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address6813 Manchester Dr, Maryville, IL 62062-8548

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