Individual
LEAH A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 223-6600
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT21002099
DC
225X00000X
Occupational Therapist
Primary
OT60762053
WA
Other
Enumeration date
10/11/2022
Last updated
01/12/2024
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