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Jean M Takaesu, OTR/L
Hand Occupational Therapist in Vancouver, Washington
NPI 1700861804

Jean M Takaesu is a Hand Occupational Therapist based in Vancouver, WA and is specialized in Hand. Jean M Takaesu practices in Vancouver, WA and has the professional credentials of OTR/L. The NPI Number for Jean M Takaesu is 1700861804 and holds a License No. OT00003054 (Washington).

The current practice location address for Jean M Takaesu is 7101 Ne 137Th Ave, Vancouver, WA and can be reached out via phone at 360-944-4988.

Location: 7101 Ne 137Th Ave, Vancouver, WA, 98682-4933
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Provider Profile Details
NPI Number
1700861804
Provider Name
Jean M Takaesu
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
7101 Ne 137Th Ave, Vancouver, WA, 98682-4933
Phone Number
360-944-4988
Fax Number
Provider Enumeration Date
12/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
098565024 01 OR BCBSO
0199636 01 WA WA L&I
8434631 05 WA
269899 05 OR
institution
Provider Business Practice Location Address Details
Address
7101 Ne 137Th Ave
City
State
Zip
98682-4933
Phone Number
360-944-4988
Fax Number
person
Provider Business Mailing Address Details
Address
7101 Ne 137Th Ave
City
State
Zip
98682-4933
Phone Number
360-944-4988
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
License No.
OT00003054 (Washington)
Definition
Definition to come...
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