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Individual

LORI SHELMADINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY

Contact information

Practice address
5421 21ST AVE CT NE, TACOMA, WA 98422
(530) 570-0932
Mailing address
5421 21ST AVENUE CT NE, TACOMA, WA 98422-1959
(530) 570-0932

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60182832
WA

Other

Enumeration date
12/10/2012
Last updated
12/10/2012
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