Individual
DEVIN LEE JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1000B N MILLER ST, WENATCHEE, WA 98801-1512
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60823109
WA
Other
Enumeration date
03/01/2012
Last updated
07/01/2024
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