Gaddis, Jacqueline Denise

Gaddis, Jacqueline Denise is an sole proprietor health care provider with primary practice located at 22443 Se 240Th St Ste 206 , Maple Valley WA 98038-5879. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Gaddis, Jacqueline Denise can be contacted via phone (425) 358-3070.

Contact Information

Primary practice address
22443 Se 240Th St Ste 206 Maple Valley WA 98038-5879
Phone: (425) 358-3070
Fax: (427) 413-6797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OC60415152 Washington

Profile Details

NPI number 1881177111
LBN Legal business name Gaddis, Jacqueline Denise
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2018
Last updated Sep 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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