Individual
MARINA PICINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8011 112TH STREET CT E, PUYALLUP, WA 98373-7814
(253) 848-0662
Mailing address
8703 146TH STREET CT E, PUYALLUP, WA 98375-6976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00001390
WA
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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