Individual
JODI ANN KRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1031 SW 130TH ST, BURIEN, WA 98146-3132
(206) 242-3213
(206) 242-0528
Mailing address
21317 125TH AVE SE, KENT, WA 98031-2265
(206) 972-8672
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000484
WA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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