Organization
ADAPTABLE FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER JEAN DEROSA OTR/L (PRESIDENT)
(206) 403-0190
Entity
Organization
Contact information
Practice address
526 YALE AVE N, SEATTLE, WA 98109-5542
(206) 403-0190
Mailing address
PO BOX 20486, SEATTLE, WA 98102-1486
(206) 403-0190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004111
WA
Other
Enumeration date
08/30/2007
Last updated
07/01/2008
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