Individual
SUPRIYA A UDHOJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 112TH ST SW, EVERETT, WA 98204-4828
(732) 504-4242
Mailing address
11838 NE 105TH LN, KIRKLAND, WA 98033-5040
(732) 504-4242
(973) 736-5916
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT60399399
WA
Other
Enumeration date
06/01/2011
Last updated
12/30/2021
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