Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 00004430 | WA |
N | 2251E1200X | Ergonomics | 00004430 | WA |
N | 225XE1200X | Ergonomics | 00004430 | WA |
N | 225XH1200X | Occupational Therapist - Hand | 00004430 | WA |
N | 2251H1300X | Human Factors | 00004430 | WA |
N | 225XH1300X | Human Factors | 00004430 | WA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 00004430 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 00004430 | WA |
NPI | 1295175032 |
---|---|
Provider Name | Jenevive Chua Obleada |
First Address | Seattle, WA 98104-2420 |
Second Address | Seattle, WA 98104-2420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2013 |
Last Update Date | 25/06/2013 |