Individual
TERI NYBLOM X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2830 I ST NE, AUBURN, WA 98002-2410
(253) 394-0844
Mailing address
9916 62ND AVENUE CT E, PUYALLUP, WA 98373-4174
(253) 226-0217
(253) 848-4269
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60601017
WA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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