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Individual
JARED R RATTRAY
Active
Individual
JARED R RATTRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR L, CHT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OT00003293
WA
225X00000X
Occupational Therapist
Primary
OT-2073
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174764
LABOR & INDUSTRIES
WA
01
—
1770651390
NPI NUMBER
—
05
—
7682594
—
WA
01
—
9730RA
REGENCE NUMBER
—
01
—
DA9136
MEDICARE RAILROAD
—
Enumeration date
12/01/2006
Last updated
10/14/2021
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