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Individual

PROF. KIM BELLIS SWEENEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1425 17TH ST SE, AUBURN, WA 98002-6367
(360) 825-7201
(360) 825-7201
Mailing address
38626 239TH PL SE, ENUMCLAW, WA 98022-8803
(360) 825-7201
(360) 825-7201

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7683485
WA
Enumeration date
06/05/2006
Last updated
07/08/2007
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