Individual
SAMUEL JARED CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 NE 145TH ST, SHORELINE, WA 98155-7134
(206) 363-5856
Mailing address
14201 BIG CREEK RD, MCALLEN, TX 78504-0659
(956) 207-1082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
123921
TX
225X00000X
Occupational Therapist
Primary
61485467
WA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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