Individual
JEANNE ANN WOLD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1625 19TH AVE, SEATTLE, WA 98122-2848
(206) 323-5770
(206) 328-6871
Mailing address
1625 19TH AVE, SEATTLE, WA 98122-2848
(206) 323-5770
(206) 328-6871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172057
LABOR AND INDUSTRIES
WA
01
—
2158WO
REGENCE BLUE SHIELD
WA
05
—
8345878
—
WA
Enumeration date
07/21/2005
Last updated
07/08/2007
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