MEDICARE: DR. JENNIFER M NASH OTR/L, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT00004086	WA
2	225XP0200X	Pediatric Occupational Therapist	OT00004086	WA

General Provider Information

NPI Number	:	1891997946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER M NASH OTR/L, PHD

Provider Business Mailing Address
First Line	:	3812 NE 55TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-2228
Country	:	US
Telephone Number	:	206-395-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	3812 NE 55TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-2228
Country	:	US
Telephone Number	:	206-395-6585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	11/22/2023

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