Individual
ANNETTE M SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
920 S. SECOND ST., MOUNT VERNON, WA 98273
(360) 428-6141
Mailing address
920 S. SECOND ST., MOUNT VERNON, WA 98273
(360) 595-5016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00000197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT 00000197
—
WA
Enumeration date
10/30/2012
Last updated
10/30/2012
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