Individual
MRS. JEANNE GOLDBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10906 151ST AVE NE, REDMOND, WA 98052-2524
(425) 881-2720
Mailing address
10906 151ST AVE NE, REDMOND, WA 98052-2524
(425) 881-2720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00000954
WA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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