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Individual

ENJOLI WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L

Contact information

Practice address
4014 S 270TH ST, KENT, WA 98032-7139
(253) 945-4015
(253) 945-2177
Mailing address
33330 8TH AVE S, FEDERAL WAY, WA 98003-6325
(253) 945-2086
(253) 945-2177

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60850299
WA

Other

Enumeration date
06/17/2019
Last updated
06/17/2019
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