Individual
JESSIE FARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT, OTR/L
Contact information
Practice address
621 LINWOOD AVE SW, TUMWATER, WA 98512-6847
(360) 709-7000
Mailing address
1207 11TH AVE SE APT B, OLYMPIA, WA 98501-2496
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61452462
WA
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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