Individual
MS. JACQUELINE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1240 RUDDELL RD SE, LACEY, WA 98503-5747
(425) 395-6006
(360) 360-8274
Mailing address
PO BOX 4314, SPANAWAY, WA 98387
(425) 395-6006
(360) 878-8780
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-60105178
WA
225X00000X
Occupational Therapist
OT60105178
WA
Other
Enumeration date
05/31/2007
Last updated
04/19/2021
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