Individual
MRS. MIKAYLA RACHELLE WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1002 39TH AVE SW STE 104, PUYALLUP, WA 98373-3805
(360) 602-2815
Mailing address
1002 N MERIDIAN STE 100, PUYALLUP, WA 98371-4409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60924520
WA
Other
Enumeration date
01/24/2019
Last updated
04/07/2024
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