Individual
LAURA HEINEMANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3300
Mailing address
6201 24TH AVE NW, APARTMENT 12, SEATTLE, WA 98107-2496
(208) 308-1052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60537980
WA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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