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Organization

YOUR FOREVER HOME, PLLC

Active
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Organization

YOUR FOREVER HOME, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARRIE MARCELLO OTD, OTR/L, CAPS (OCCUPATIONAL THERAPIST, OWNER)
(360) 621-3341
Entity
Organization

Contact information

Practice address
1581 NE OHARA HILLS DR, POULSBO, WA 98370-6952
(360) 621-3341
Mailing address
10855 SILVERDALE WAY NW, UNIT 3175, SILVERDALE, WA 98383-7551
(360) 621-3341

Taxonomy

Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
OT 60066956
WA

Other

Enumeration date
01/17/2017
Last updated
01/17/2017
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