Individual
CASEY L MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1981 NE COLUMBIA ROAD, SEATTLE, WA 98195-5360
(206) 543-4011
Mailing address
607 N 63RD ST, SEATTLE, WA 98103-5625
(909) 633-0283
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60939085
WA
Other
Enumeration date
03/14/2019
Last updated
09/08/2021
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