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Individual

MRS. DIANA PADAVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10125 124TH AVE N # KPN, GIG HARBOR, WA 98329-5545
(253) 851-4781
Mailing address
10125 124TH AVE N # KPN, GIG HARBOR, WA 98329-5545
(253) 851-4781

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000789
WA

Other

Enumeration date
06/03/2014
Last updated
06/03/2014
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