Individual
LISA MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 529-5763
Mailing address
14806 117TH PL NE, KIRKLAND, WA 98034-4639
(425) 486-5305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00002893
WA
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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