Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 00001587 | WA |
N | 225XG0600X | Occupational Therapist - Gerontology | OT 00001587 | WA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 00001587 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT 00001587 | WA |
NPI | 1023375326 |
---|---|
Provider Name | Cheryl Ramadan-Jradi |
First Address | Federal Way, WA 98003 |
Second Address | Federal Way, WA 98003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2012 |
Last Update Date | 12/04/2012 |