Individual
ERIN A JACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
205 15TH AVE SW STE B, PUYALLUP, WA 98371
(253) 283-5181
(253) 276-1552
Mailing address
205 15TH AVE SW STE B, PUYALLUP, WA 98371-7873
(253) 283-5181
(253) 276-1552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004441
WA
Other
Enumeration date
05/11/2007
Last updated
01/23/2019
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