Provider Demographics
NPI:1720299621
Name:MANN, JAROD FREDERICK (OTR/L, CHT)
Entity Type:Individual
Prefix:MR
First Name:JAROD
Middle Name:FREDERICK
Last Name:MANN
Suffix:
Gender:M
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-2423
Mailing Address - Country:US
Mailing Address - Phone:360-970-7894
Mailing Address - Fax:
Practice Address - Street 1:303 S F ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-1099
Practice Address - Country:US
Practice Address - Phone:360-970-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010292225XH1200X
WAOT00003604225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand