Individual
JACQUELINE SHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 1ST ST N, YELM, WA 98597-7718
(360) 458-6124
(360) 458-6450
Mailing address
PO BOX 476, YELM, WA 98597-0476
(360) 458-6124
(360) 458-6450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT OOOO1141
WA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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