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Individual

MRS. BARBARA A SHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
710 6TH ST, PROSSER, WA 99350
(503) 703-7198
(877) 703-8770
Mailing address
1916 PIKE PL, SUITE 12, # 163, SEATTLE, WA 98101-1056
(503) 703-7198
(877) 703-8770

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007569
AZ
225X00000X
Occupational Therapist
Primary
60475842
WA
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275720500
WA
Enumeration date
10/01/2007
Last updated
04/25/2019
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