Most Relevant Information
Provider Data
| NPI Number: | 1003213067 |
| Provider Name: | JENNIFER DAWN COLWELL MOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT 60454542 |
Most Important Dates
| Enumeration Date: | 11/19/2014 |
| Last Updated: | 05/24/2019 |
Provider Practice Location
1818 S UNION AVE STE 1B
TACOMA
WA
984051953
Practice Location Phone/Fax
| Phone: | 2536277012 |
| Fax: |
Provider Mailing Location
1818 S UNION AVE STE 1B
TACOMA
WA
984051953
Provider Mailing Phone/Fax
| Phone: | 2536277012 |
| Fax: | 2536277014 |