Provider Demographics
NPI:1073178505
Name:RODRIGUEZ SAHIN, JAMMIE LETICIA (OTR/L)
Entity Type:Individual
Prefix:
First Name:JAMMIE
Middle Name:LETICIA
Last Name:RODRIGUEZ SAHIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JAMMIE
Other - Middle Name:LETICIA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1131 LAKE WASHINGTON BLVD N UNIT E411
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-2517
Mailing Address - Country:US
Mailing Address - Phone:308-383-8962
Mailing Address - Fax:
Practice Address - Street 1:300 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2307
Practice Address - Country:US
Practice Address - Phone:425-204-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60874925225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist