Individual
SERA JESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S UNIVERSITY RD STE 101, SPOKANE VALLEY, WA 99206-6164
(509) 921-9798
(509) 921-9774
Mailing address
325 S UNIVERSITY RD STE 101, SPOKANE VALLEY, WA 99206-6164
(509) 921-9798
(509) 921-9774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC60679141
OT LICENSE
WA
Enumeration date
11/09/2018
Last updated
11/09/2018
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