Individual
MRS. GINA MARIE TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4700
Mailing address
8836 SELBO PEAK PL NW, BREMERTON, WA 98311-9456
(412) 200-8189
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61495787
WA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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