Individual
JILL A MANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4160 86TH AVE SE, MERCER ISLAND, WA 98040-4121
(206) 236-3330
(206) 236-3333
Mailing address
4160 86TH AVE SE, MERCER ISLAND, WA 98040-4121
(206) 236-3330
(206) 236-3333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003275
WA
225XP0200X
Pediatric Occupational Therapist
OT00003275
WA
Other
Enumeration date
11/10/2005
Last updated
05/05/2016
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