Individual
NICOLE LEE JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L.
Contact information
Practice address
2929 5TH AVE NE STE A, PUYALLUP, WA 98372-6782
(253) 447-8216
Mailing address
413 S 56TH ST, TACOMA, WA 98408-6428
(253) 381-3406
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC60312487
WA
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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