Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | OT00002695 | WA |
Y | 225XE1200X | Ergonomics | OT00002695 | WA |
NPI | 1609900646 |
---|---|
Provider Name | Jill L Zosel |
First Address | Seattle, WA 98125-6308 |
Second Address | Seattle, WA 98125-6308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 08/07/2007 |