Individual
JENNIE GABRIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
(425) 431-3047
(425) 431-7511
Mailing address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000126
WA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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