Individual
JESSICA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
13954 NE 60TH WAY, STE. 110, REDMOND, WA 98052-4583
(425) 890-0998
Mailing address
30212 NE 178TH PL, DUVALL, WA 98019-7811
(425) 443-6957
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT00002861
WA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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