Individual
PAMELA HURYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-6278
Mailing address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-6278
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00000444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 00000444
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/28/2012
Last updated
09/28/2012
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