Individual
GRACE BOUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
2501 N MULLEN ST, TACOMA, WA 98406-3407
(847) 749-6575
Mailing address
2501 N MULLEN ST, TACOMA, WA 98406-3407
(847) 749-6575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61539721
WA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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