Provider Demographics
NPI:1871786194
Name:SABEL, JODY ILANA (OTR/L)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:ILANA
Last Name:SABEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 NW 58TH ST
Mailing Address - Street 2:6
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5347
Mailing Address - Country:US
Mailing Address - Phone:917-734-1621
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:REHABILITATION SERVICES BOX 359827
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-3995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 60249995225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist