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General NPI Number Information
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NPI Number | 1467244111
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Entity Type | Organization
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Legal Business Name | TACOMA OCCUPATIONAL THERAPY, PLLP
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 21 N SALMON BCH
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City | TACOMA
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State | WA
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Zip | 98407-2215
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Country | US
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Telephone | 303-229-0246
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 BRIDGEPORT WAY STE A #531
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/PARTNER
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Name | JILLIAN M KIRSCHKE
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Credential | OTR/L
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Telephone | 303-229-0246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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