Individual
JACLYN ANN SUBKOVIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0461
(206) 515-5886
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003450
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039622
LABOR AND INDUSTRIES#
WA
05
—
8341489
—
WA
Enumeration date
05/14/2007
Last updated
05/18/2008
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