Individual
KATHRYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8615 184TH ST E, PUYALLUP, WA 98375-9420
(253) 840-8808
Mailing address
12820 167TH STREET CT E, PUYALLUP, WA 98374-8842
(662) 836-6149
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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