Individual
JACLYN M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DROT, OTR/L
Contact information
Practice address
9951 MICKELBERRY RD NW STE 123, SILVERDALE, WA 98383-8309
(360) 908-5110
Mailing address
4225 PINE AVE NE, BREMERTON, WA 98310-9793
(360) 908-5110
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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