Individual
EMMARUTH GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 S 224TH ST, DES MOINES, WA 98198-5132
(206) 824-0600
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60796541
WA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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