Individual
JACQUELINE DENISE GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
22443 SE 240TH ST STE 206, MAPLE VALLEY, WA 98038-5879
(425) 358-3070
(427) 413-6797
Mailing address
22443 SE 240TH ST STE 206, MAPLE VALLEY, WA 98038-5879
(425) 358-3070
(427) 413-6797
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60415152
WA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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