Organization
EVOLVED LIVING THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE JARVIS MA (OCCUPATIONAL THERAPIST OWNER)
(425) 405-0849
Entity
Organization
Contact information
Practice address
1205 S STEVENS ST, TACOMA, WA 98405-1125
(425) 405-0849
Mailing address
1205 S STEVENS ST, TACOMA, WA 98405-1125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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