Individual
ANNA JENNERJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2445 3RD AVE S, SEATTLE, WA 98134-1923
(425) 736-8608
Mailing address
23334 NE 29TH PL, SAMMAMISH, WA 98074-5435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61173607
WA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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