Individual
JACQUE L TIKALSKY
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
Mailing address
1100 9TH AVE # M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004223
WA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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