Individual
JENNIFER KATHLEEN PREVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7411 PACIFIC AVE, TACOMA, WA 98408-7118
(253) 474-8456
Mailing address
690 S WALSH DR APT 9, CASPER, WY 82609-2343
(307) 438-0906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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