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Individual

MARY CLAIRE SROKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
9414 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98662-6109
(360) 892-5142
Mailing address
5303 SE 66TH AVE, PORTLAND, OR 97206-5301

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60984229
WA

Other

Enumeration date
08/29/2019
Last updated
08/29/2019
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