Individual
ARNOLD AGRAVIADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 111TH AVE NE, BELLEVUE, WA 98004-4486
(425) 504-8821
Mailing address
2580 118TH AVE SE APT 2-104, BELLEVUE, WA 98005-8161
(310) 999-9193
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61360597
WA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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