Individual
KALLIE ROSE BRENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
19321 MOUNTAIN HWY E STE 100, SPANAWAY, WA 98387-8450
(253) 846-8918
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
(253) 581-5200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61146343
WA
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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