Individual
JONICLAIR GABUCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4640 S 144TH ST, TUKWILA, WA 98168-4134
(206) 901-8000
Mailing address
4640 S 144TH ST, TUKWILA, WA 98168-4134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
70052125
WA
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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