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Individual

MS. ELIZABETH ANN WALBRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
12033 SE 256TH ST, KENT, WA 98030-6503
(253) 373-7664
Mailing address
12033 SE 256TH ST, KENT, WA 98030-6503
(253) 373-7664

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00000326
WA

Other

Enumeration date
09/24/2012
Last updated
02/04/2013
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