Individual
KELLIE SROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20640 84TH AVE S, KENT, WA 98032-1224
(253) 395-1171
Mailing address
3255 115TH AVE NE, APT 255, BELLEVUE, WA 98004-7794
(904) 563-1817
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60323116
WA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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