Individual
JENNIFER J. DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 YALE AVE N, SEATTLE, WA 98109-5542
(206) 403-0190
Mailing address
101 BROADWAY E, BOX 20481, SEATTLE, WA 98102-5793
(206) 403-0190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004111
WA
Other
Enumeration date
08/04/2006
Last updated
07/01/2008
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