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Individual

JOSHUA JAMES EDWARD FLAKE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
126 15TH ST SE, PUYALLUP, WA 98372-3409
(253) 445-8663
(253) 445-8342
Mailing address
15808 VAIL CUT OFF RD SE, RAINIER, WA 98576-9620
(253) 948-8102

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60508157
WA

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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