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Individual

GLADWYN SENIBALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2501 SE COLUMBIA WAY STE 120, VANCOUVER, WA 98661-8046
(360) 260-7466
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
543474
OR
225X00000X
Occupational Therapist
Primary
OT70073754
WA

Other

Enumeration date
01/02/2026
Last updated
01/02/2026
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