Individual
TAMBRA L MARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3315 S 23RD ST, STE 210, TACOMA, WA 98405-1605
(253) 572-8684
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002891
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0290928
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
8333874
—
WA
Enumeration date
08/02/2006
Last updated
07/14/2015
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