Individual
IRENE BOZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 W FAIRVIEW ST, COLFAX, WA 99111-9580
(509) 397-4603
Mailing address
24301 E WELLESLEY AVE, OTIS ORCHARDS, WA 99027-9765
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60483065
WA
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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