Individual
FEDERICA MUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(203) 850-0877
Mailing address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(203) 850-0877
(916) 365-9870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT15805
CA
225XP0200X
Pediatric Occupational Therapist
Primary
61321822
WA
225XP0200X
Pediatric Occupational Therapist
OT15805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT15805
LICENSE
CA
Enumeration date
12/03/2015
Last updated
07/27/2022
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