Individual
KATHI MARIE JERMULOWSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
16409 65TH AVE SE, SNOHOMISH, WA 98296
(425) 218-0057
Mailing address
16409 65TH AVE SE, SNOHOMISH, WA 98296
(425) 218-0057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
LA60299558
WA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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