Individual
MRS. JILL ELISA PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1010 SOUTH 336TH STREET, SUITE 210, FEDERAL WAY, WA 98003
(253) 225-7290
Mailing address
1010 SOUTH 336TH STREET, SUITE 210, FEDERAL WAY, WA 98003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00000983
WA
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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