Individual
MS. MARY LOUISE JOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
501 W 4TH AVE, TOPPENISH, WA 98948-1615
(509) 865-3141
Mailing address
14647 SUMMITVIEW EXTENSION ROAD, YAKIMA, WA 98908
(509) 966-3127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00000773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123979
—
WA
Enumeration date
05/08/2007
Last updated
07/09/2007
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