Individual
MIRAFLOR TABOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1584 MCNEIL ST STE 240, DUPONT, WA 98327-8793
(253) 549-1524
Mailing address
2528 TESLIN ST, JUNEAU, AK 99801-9085
(907) 958-6628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
006855
OH
225X00000X
Occupational Therapist
Primary
OT60188638
WA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/08/2007
Last updated
06/26/2024
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