Individual
ROSE RACICOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
21225 97TH PL S, KENT, WA 98031-2018
(253) 854-3320
Mailing address
21225 97TH PL S, KENT, WA 98031-2018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001070
WA
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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