Individual
JERID NORBERT STEVENOT
Active
Individual
JERID NORBERT STEVENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
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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