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Jessica Danielle Bryan

Occupational Therapy Assistant in Puyallup, WA. Individual provider (NPI-1).

NPI number1982115283
StatusActive
Last updated in NPPESOct 13, 2017

Details

NPI
1982115283
Entity type
Individual (NPI-1)
Name
Jessica Danielle Bryan
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 13, 2017
Last updated
Oct 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOC60316927WAYes

Practice location

401 15th Ave Se
Puyallup, WA 98372-3715

Phone 253-697-4000

Mailing address

12919 79th Avenue Ct E
Puyallup, WA 98373-5474

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