Individual
AMBER R KILCZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1717 FIR ST NE, OLYMPIA, WA 98506-3426
(360) 259-3620
(360) 515-0065
Mailing address
1717 FIR ST NE, OLYMPIA, WA 98506-3426
(360) 259-3620
(360) 515-0065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/30/2010
Last updated
05/25/2017
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