Individual
JESSICA SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2580 S MONTESANO ST, WESTPORT, WA 98595-9746
(360) 268-9125
(360) 268-2540
Mailing address
2580 S MONTESANO ST, WESTPORT, WA 98595-9746
(360) 268-9125
(360) 268-2540
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60880576
WA
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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