Individual
JODELL MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3021 HOFFMAN RD SE, OLYMPIA, WA 98501-5991
(360) 790-1189
Mailing address
PO BOX 406, OLYMPIA, WA 98507-0406
(360) 790-1189
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00000312
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0307104
L & I
WA
Enumeration date
02/28/2010
Last updated
05/20/2013
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