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1871922344
KELLIE SROCK
KENT, WA
NPI
1871922344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT60323116)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
-- KELLIE SROCK OTR/L
20640 84TH AVE S
KENT, WA 98032-1224
Phone number: 253-395-1171
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Mailing Address
-- KELLIE SROCK OTR/L
3255 115TH AVE NE APT 255
BELLEVUE, WA 98004-7794
Phone number: 904-563-1817
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