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Individual

VICTOR HENRY GAJEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L CHT

Contact information

Practice address
3726 BROADWAY,, SUITE 201, EVERETT, WA 98201
(425) 317-9119
(425) 317-9118
Mailing address
3726 BROADWAY,, SUITE 201, EVERETT, WA 98201
(425) 317-9119
(425) 317-9118

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00004040
225XH1200X
Hand Occupational Therapist
Primary
OT00004040
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8348286
WA
Enumeration date
07/01/2006
Last updated
04/06/2012
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