Individual
MR. MATHEW DALUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
516 23RD AVE SE, PUYALLUP, WA 98372-4659
(253) 845-6631
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60318236
WA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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