Individual
MATTHEW MARK THAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7600
(425) 258-7406
Mailing address
3319 COLBY AVE, APT. 202, EVERETT, WA 98201-4342
(425) 257-1336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003736
WA
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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