MISS Charyl Ladonne Jada Jack, OTR/L

NPI #1033386529 in Bremerton, Washington

Provider Information

NPI Number: 1033386529
Entity Type: Individual
Name: MISS Charyl Ladonne Jada Jack, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: May 13, 2008
Last Updated: Dec 11, 2020

Practice Location

Address: 1500 SHOREWOOD DR
City: Bremerton
State: Washington
ZIP Code: 98312-2323
Phone: (360) 670-9327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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