Individual
TRISTIN GLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 SE 148TH AVE, VANCOUVER, WA 98684-8234
(425) 457-0832
Mailing address
401 SE 148TH AVE, VANCOUVER, WA 98684-8234
(425) 457-0832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
346029
OR
225X00000X
Occupational Therapist
Primary
OT 60567292
WA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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