Individual
SHARON BROBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S 18TH ST, MOUNT VERNON, WA 98274-4661
(360) 424-1320
Mailing address
10808 193RD AVE E, BONNEY LAKE, WA 98391-8074
(253) 862-5184
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60611332
WA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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