Individual
MS. JOANNE SUSAN STREECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1202 WOOD AVE, SUMNER, WA 98390-1926
(253) 891-6045
Mailing address
1202 WOOD AVE, SUMNER, WA 98390-1926
(253) 891-6045
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00000543
WA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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