Individual
JILLIAN NICOLE SIVINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6511 NE 18TH ST, VANCOUVER, WA 98661-6869
(360) 759-4917
(360) 759-4921
Mailing address
PO BOX 2277, VANCOUVER, WA 98668-2277
(360) 759-4917
(360) 759-4921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00004228
WA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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