Individual
BECKY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Mailing address
17702 244TH AVE NE, WOODINVILLE, WA 98077-7524
(425) 308-1374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00002547
WA
225X00000X
Occupational Therapist
979459
OR
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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