Individual
DANIELLE BROBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
202 N DIVISION ST, TACOMA, WA 98415
(253) 403-1000
Mailing address
PO BOX 257 PMB 8561, OLYMPIA, WA 98507-0257
(253) 403-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60279886
WA
Other
Enumeration date
06/22/2020
Last updated
11/08/2021
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