Individual
TRACY LEEANNE CHMIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
31135 228TH AVE SE, BLACK DIAMOND, WA 98010-1708
(253) 373-7750
Mailing address
20612 SE 294TH WAY, KENT, WA 98042-6849
(206) 915-0494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60064456
WA
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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