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Individual

MS. TALITHA M ROSHAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
8011 112TH STREET CT E, PUYALLUP, WA 98373-7814
(253) 845-2060
(253) 848-8567
Mailing address
9907 130TH STREET CT E APT J208, PUYALLUP, WA 98373-9444
(843) 687-9279

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3120
SC
225X00000X
Occupational Therapist
Primary
3848
WA

Other

Enumeration date
06/28/2007
Last updated
02/08/2008
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