Individual
EUGENE CILENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
Mailing address
PO BOX 35, ADNA, WA 98522-0035
(360) 748-3384
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00001544
WA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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