NPI | 1104200435 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY CHARLENE GUARDIA Owner/Practitioner 253-363-3758 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 00002991) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-08-03 |