Individual
JERID NORBERT STEVENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60742081
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60742081
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
08/25/2017
Last updated
01/12/2024
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