Individual
JEAN M TAKAESU
Active
Individual
JEAN M TAKAESU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
1031035
OR
225XH1200X
Hand Occupational Therapist
Primary
OT00003054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199636
WA L&I
WA
01
—
098565024
BCBSO
OR
05
—
269899
—
OR
05
—
8434631
—
WA
Enumeration date
12/12/2005
Last updated
07/18/2025
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