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Individual

HAILEY PIETENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21200 SE 416TH ST, ENUMCLAW, WA 98022-9012
(360) 802-7620
Mailing address
21200 SE 416TH ST, ENUMCLAW, WA 98022-9012

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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