Individual
JILL NICOLE MINEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
1871 NW GILMAN BLVD STE 2, ISSAQUAH, WA 98027-8116
(425) 657-6020
Mailing address
5627 MATTERHORN PL NW, ISSAQUAH, WA 98027-7863
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60293992
WA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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