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Supriya A Udhoji

Occupational Therapist, Gerontology in Everett, WA. Individual provider (NPI-1).

NPI number1982998589
StatusActive
Last updated in NPPESDec 30, 2021

Details

NPI
1982998589
Entity type
Individual (NPI-1)
Name
Supriya A Udhoji
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 1, 2011
Certification date
Dec 30, 2021
Last updated
Dec 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XG0600X Occupational Therapist, GerontologyOT60399399WAYes

Practice location

520 112th St Sw
Everett, WA 98204-4828

Phone 732-504-4242

Mailing address

11838 Ne 105th Ln
Kirkland, WA 98033-5040

Phone 732-504-4242 · Fax 973-736-5916

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