Individual
JAVIER NAYIB VILLALOBOS PLASCENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
17624 15TH AVE SE STE 111A, BOTHELL, WA 98012-5107
(425) 371-5698
(425) 217-5923
Mailing address
10515 WOODINVILLE DR TRLR 89, BOTHELL, WA 98011-3227
(425) 691-6151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61616958
WA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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