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Individual

KATHLEEN M WEDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-8133
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2420

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60279337
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT60279337
WASHINGTON STATE OCCUPATIONAL THERAPY LICENSE
WA
Enumeration date
07/12/2012
Last updated
07/12/2012
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