Individual
ERICA PETRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9307 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-1570
(253) 201-1234
Mailing address
9307 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-1570
(253) 201-1234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.OT.61033580
WA
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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