Individual
JENNIFER IKARD TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6424 N 9TH ST, TACOMA, WA 98406-2091
(253) 565-4484
Mailing address
5710 BAKER RD, MINNETONKA, MN 55345-5901
(952) 767-4200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60603274
WA
Other
Enumeration date
06/17/2014
Last updated
06/26/2019
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