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1326653130
JARED SAMUEL PELTZMAN
LAKEWOOD, WA
NPI
1326653130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT61031920)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
JARED SAMUEL PELTZMAN OTR/L
10903 GRAVELLY LAKE DR SW # 1
LAKEWOOD, WA 98499-1341
Phone number: 252-583-5170
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Mailing Address
JARED SAMUEL PELTZMAN OTR/L
10903 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499-1341
Phone number: 253-583-5080
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