Most Relevant Information
Provider Data
| NPI Number: | 1003022674 |
| Provider Name: | JACLYN ANN SUBKOVIAK OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT00003450 |
Most Important Dates
| Enumeration Date: | 05/14/2007 |
| Last Updated: | 05/18/2008 |
Provider Practice Location
1100 9TH AVE
SEATTLE
WA
981012756
Practice Location Phone/Fax
| Phone: | 2063410461 |
| Fax: | 2065155886 |
Provider Mailing Location
1100 9TH AVE
MS M4-PA
SEATTLE
WA
981012756
Provider Mailing Phone/Fax
| Phone: | 2065836025 |
| Fax: | 2065155886 |