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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS CHARYL LADONNE JADA JACK, OTR/L

Active Sole Proprietor

MISS CHARYL LADONNE JADA JACK, OTR/L is a Occupational Therapist healthcare provider located in BREMERTON, Washington. NPI 1033386529 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BREMERTON, WA

Registration Details

NPI Number
1033386529
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2008 (18.223720542951 yrs)
Last Updated
Dec 11, 2020
License
OT60003424 (WA)
Sole Proprietor
Yes

Practice Information

Address
1500 SHOREWOOD DR
BREMERTON, WA, 983122323
Browse WA providers · Browse ZIP 98312
Phone
3606709327
Fax
3603431902
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in BREMERTON, WA

Name Credential NPI
MS. MARIA NENITA STONE OT RL 1174505283
MR. REDGE LAUGHTON CAMPBELL OTR 1447348974
MR. DONALD V SHEPARD OTR 1316142086
SARAH HENESEY 1285831792
MRS. MARYELLEN MEADOWS OTR/L 1023216140
REBECCA GRACE BRAMAN OTR/L 1225369275
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.