Individual
JULIE GRONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
126 15TH ST SE, PUYALLUP, WA 98372-3409
(253) 445-8663
(253) 445-8342
Mailing address
15436 BEL RED RD, 100, REDMOND, WA 98052-5536
(425) 644-4100
(425) 644-4101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP00033186
WA
225X00000X
Occupational Therapist
Primary
OT00003223
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167467
L&I
WA
05
—
8340481
—
WA
Enumeration date
08/24/2006
Last updated
02/19/2008
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