Individual
KELLY W PARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
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
224Z00000X
Occupational Therapy Assistant
Primary
OC60714208
WA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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