Individual
MEREDITH JEAN THIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
1507 LAFAYETTE ST, STEILACOOM, WA 98388-1323
(253) 365-5750
Mailing address
1507 LAFAYETTE ST, STEILACOOM, WA 98388-1323
(253) 365-5750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00003668
WA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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