Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Charyl Ladonne Jada Jack, OTR/L

Individual provider Occupational Therapist · NPI 1033386529

Miss. Charyl Ladonne Jada Jack, OTR/L is an Occupational Therapist in Bremerton, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2008
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1500 Shorewood Dr
Bremerton, WA 98312-2323
Phone: (360) 670-9327
Fax: (360) 343-1902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4213 Sw Colbert Way, Port Orchard, WA 98367-8808 — (360) 670-9327

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT60003424 (WA)

Record details

NPI number1033386529
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMay 13, 2008
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

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