Individual
JOLIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10811 SE KENT KANGLEY RD, KENT, WA 98030-7108
(253) 854-5660
(253) 854-7025
Mailing address
10811 SE KENT KANGLEY RD, KENT, WA 98030-7108
(253) 854-5660
(253) 854-7025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00001956
WA
225XP0200X
Pediatric Occupational Therapist
Primary
OT00001956
WA
Other
Enumeration date
03/24/2021
Last updated
11/23/2021
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