Individual
JENNIFER DAWN COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1818 S UNION AVE STE 1B, TACOMA, WA 98405-1953
(253) 627-7012
Mailing address
1818 S UNION AVE STE 1B, TACOMA, WA 98405-1953
(253) 627-7012
(253) 627-7014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60454542
WA
Other
Enumeration date
11/19/2014
Last updated
05/24/2019
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