Individual
JESSICA WADDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4409 CALIFORNIA AVE SW APT 403, SEATTLE, WA 98116-4914
(206) 605-7634
Mailing address
4409 CALIFORNIA AVE SW APT 403, SEATTLE, WA 98116-4914
(206) 605-7634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60117111
WA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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