Individual
TAMBRA KAY BIRKEBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12033 SE 256TH ST, KENT, WA 98030-6503
(253) 373-7000
Mailing address
22732 10TH AVE S, DES MOINES, WA 98198-6917
(206) 861-2696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00001653
WA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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