Individual
KAREN BOLANOZ-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17218 74TH AVE E, PUYALLUP, WA 98375-9748
(253) 800-6300
Mailing address
20216 71ST ST E, BONNEY LAKE, WA 98391-8698
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
WA
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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