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Individual

MISS GALIT SHILO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(410) 913-7604
Mailing address
PO BOX 801, MOUNT VERNON, WA 98273-0801
(410) 913-7604

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60193074
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60193074
WA
Enumeration date
10/19/2012
Last updated
10/19/2012
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