Individual
JENNIFER KIRKEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5410 194TH AVE SE, ISSAQUAH, WA 98027-8626
(425) 375-7665
Mailing address
15707 SE 166TH PL, RENTON, WA 98058-8289
(425) 894-4827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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