Dewaele, Tara

Dewaele, Tara is an individual health care provider with primary practice located at 12033 Se 256Th St , Kent WA 98030-6503. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Dewaele, Tara can be contacted via phone (253) 373-7513.

Contact Information

Primary practice address
12033 Se 256Th St Kent WA 98030-6503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OC00001040 Washington

Profile Details

NPI number 1871844274
LBN Legal business name Dewaele, Tara
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Sep 25th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers