Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 00000788 | WA |
NPI | 1093087025 |
---|---|
Provider Name | Janet Marie Powell |
First Address | Seattle, WA 98195-6490 |
Second Address | Seattle, WA 98195-6490 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2012 |
Last Update Date | 07/02/2012 |