Individual
GREG SCOTT MCMICHEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
785 SE BAYSHORE DR STE 102, OAK HARBOR, WA 98277-3275
(360) 279-8323
Mailing address
6546 WINTERGREEN DR, CLINTON, WA 98236-8405
(360) 682-8357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60575005
WA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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