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Individual

KRISTIN DEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
20810 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-6301
(253) 447-8562
Mailing address
20810 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-6301
(253) 447-8562

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60552139
WA
225X00000X
Occupational Therapist

Other

Enumeration date
07/14/2016
Last updated
05/03/2021
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