Individual
NICHOLAS G KASOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT, OTR/L, IMH-E
Contact information
Practice address
2929 5TH AVE NE, PUYALLUP, WA 98372-6782
(253) 447-8216
Mailing address
2929 5TH AVE NE, PUYALLUP, WA 98372-6782
(253) 447-8216
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT61218903
WA
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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