Individual
JENNIFER MARY ALTIMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3901 CAPITAL MALL DR SW STE D, OLYMPIA, WA 98502-8654
(360) 709-6221
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60790034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107856
—
WA
Enumeration date
09/13/2018
Last updated
10/08/2020
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