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Individual

MR. BRIAN K. NITTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7306
(425) 258-7406
Mailing address
1345 N 183RD ST, SHORELINE, WA 98133-4504
(206) 546-5509
(425) 258-7406

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000485
WA

Other

Enumeration date
06/30/2006
Last updated
07/08/2007
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