Individual
JENNIFER S TAKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3546 252ND PL SE, SAMMAMISH, WA 98029-7756
(559) 313-6399
Mailing address
3546 252ND PL SE, SAMMAMISH, WA 98029-7756
(559) 313-6399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11323
CA
225X00000X
Occupational Therapist
Primary
OT60498676
WA
Other
Enumeration date
03/08/2011
Last updated
08/15/2024
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