Individual
MS. DYANA BAMBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1443
Mailing address
PO BOX 5299, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/07/2006
Last updated
06/22/2009
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