Individual
MAKENZIE DEARBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
402 15TH AVE SE, PUYALLUP, WA 98372-3709
(253) 697-5200
Mailing address
402 15TH AVE SE, PUYALLUP, WA 98372-3709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60624537
WA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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