Individual
JILLIAN MAYUMI OSHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1229 MADISON ST STE 1500, SEATTLE, WA 98104-3591
(206) 386-3592
(206) 386-6657
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61094012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205597
—
WA
Enumeration date
11/04/2020
Last updated
04/15/2022
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