Individual
JACLYN M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DROT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1805
AK
174400000X
Specialist
OT00003236
WA
225X00000X
Occupational Therapist
Primary
OT00003236
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5334RO
REGENCE
WA
Enumeration date
08/23/2006
Last updated
11/15/2021
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