Provider Demographics
NPI:1346996329
Name:KLAPIYCHUK, SUZANNE (COTA)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:KLAPIYCHUK
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 37TH PL SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-8804
Mailing Address - Country:US
Mailing Address - Phone:253-880-8673
Mailing Address - Fax:
Practice Address - Street 1:7801 STEILACOOM BLVD SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-6105
Practice Address - Country:US
Practice Address - Phone:253-880-8673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty