Healthcare Provider Details

I. General information

NPI: 1609900646
Provider Name (Legal Business Name): JILL L ZOSEL OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 NE 114TH ST
SEATTLE WA
98125-6308
US

IV. Provider business mailing address

1031 NE 114TH ST
SEATTLE WA
98125-6308
US

V. Phone/Fax

Practice location:
  • Phone: 206-365-1080
  • Fax:
Mailing address:
  • Phone: 206-365-1080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberOT00002695
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: