Daffodil Valley Children'S Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT00004441 Issued in WA

Legal business name

DAFFODIL VALLEY CHILDREN'S THERAPY

Practice address

205 15TH Ave SW
Suite B
Puyallup, WA 98371

Phone

(253) 283-5181

NPI assigned

Sep 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erin Jackowski, OTR/L

Title

Owner,Otr/L

Phone

(253) 283-5181

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1053860635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 13TH ST SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717004",
            "telephone_number": "253-283-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 15TH AVE SW",
            "address_2": "SUITE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98371",
            "telephone_number": "253-283-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAFFODIL VALLEY CHILDREN'S THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "JACKOWSKI",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER,OTR/L",
        "authorized_official_telephone_number": "253-283-5181",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT00004441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Cutuli, LMP
• Mary Cyr, MD
• D.L. Vanderschelden, DDS, PC
• Rebecca G D'Agostino, LMP
• Keith M. D'Souza, MD
• Dahan PLLC
• Danny Dahan, DMD
• Mazen Dahan, MD
• Angela Marie Dahl, DPT
• Angela Renee Dahlen, LMT

• Pediatric Occupational Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.