Individual
MARY SUSAN JEPSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 S 24TH AVE, YAKIMA, WA 98902-5719
(509) 248-6113
Mailing address
1608 S 24TH AVE, YAKIMA, WA 98902-5719
(509) 248-6113
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
OT 60047370
WA
Other
Enumeration date
12/21/2014
Last updated
01/25/2016
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