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Individual

ALEXIA KRITSONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
(360) 373-4934
Mailing address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
(360) 373-4934

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60642050
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT60642050
WASHINGTON STATE LICENSE
WA
Enumeration date
03/09/2016
Last updated
03/09/2016
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