Individual
MRS. JULIE A TAGGARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
965 GOETHALS DR, RICHLAND, WA 99352-3527
(509) 460-5588
(509) 783-5438
Mailing address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4169
AZ
225X00000X
Occupational Therapist
OT00004278
WA
225XH1200X
Hand Occupational Therapist
Primary
OT00004278
WA
Other
Enumeration date
08/23/2006
Last updated
07/16/2019
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