Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Sullivan, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1770953051

Jennifer Sullivan, COTA/L is an Occupational Therapy Assistant in Deer Park, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

3815 W Mason Rd
Deer Park, WA 99006-9511
Phone: (509) 638-7899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OC 60483407 (WA)

Record details

NPI number1770953051
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedSeptember 30, 2015
Last updated in NPPESSeptember 30, 2015

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