Individual
JESSICA WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1909 214TH ST SE STE 204, BOTHELL, WA 98021-4415
(425) 219-4788
Mailing address
23302 171ST AVE SE, MONROE, WA 98272-9449
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
60768049
WA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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