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1104392109
MEGAN BLACK
PUYALLUP, WA
NPI
1104392109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA 60875784)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
MEGAN BLACK OTR/L
40 29TH ST NE
PUYALLUP, WA 98372
Phone number: 518-420-2736
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Mailing Address
MEGAN BLACK OTR/L
5016 FAIRWOOD BLVD NE APT 6
TACOMA, WA 98422-2170
Phone number:
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