Individual
ELISE DZIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2402 NW 195TH PL, SHORELINE, WA 98177-2932
(206) 364-3777
(206) 364-3999
Mailing address
2402 NW 195TH PL, SHORELINE, WA 98177-2932
(206) 364-3777
(206) 364-3999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT70005452
WA
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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