Organization
PEAS IN A POD PEDIATRICS PLLC
Active
Other names
Center for Therapeutic Intervention
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ALAN WEIGOLD (COTA/L)
(610) 217-5359
Entity
Organization
Contact information
Practice address
6659 KIMBALL DR STE D403, GIG HARBOR, WA 98335-5141
(253) 851-3874
Mailing address
6659 KIMBALL DR STE D403, GIG HARBOR, WA 98335-5141
(253) 851-3874
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
604-040-505
WA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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