Individual
MARY A ATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2603 BRIDGEPORT WAY W, SUITE C, UNIVERSITY PLACE, WA 98466-4724
(253) 565-2939
(253) 460-2613
Mailing address
2603 BRIDGEPORT WAY W, SUITE C, UNIVERSITY PLACE, WA 98466-4724
(253) 565-2939
(253) 460-2613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910598103
TAX IDENTIFICATION
WA
Enumeration date
05/10/2007
Last updated
02/29/2012
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