Individual
JESSICA KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14510 124TH AVE NE APT A6, KIRKLAND, WA 98034-1217
(206) 914-1775
Mailing address
14510 124TH AVE NE APT A6, KIRKLAND, WA 98034-1217
(206) 914-1775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60606696
WA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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