Individual
CAROL T SURBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
305 SIMPSON AVE, HOQUIAM, WA 98550-2419
(360) 538-8415
Mailing address
305 SIMPSON AVE, HOQUIAM, WA 98550-2419
(360) 538-8415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001501
WA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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