Individual
MICHELLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8657
(360) 357-7677
Mailing address
21900 145TH AVE SE, KENT, WA 98042-3151
(206) 321-0999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60328566
WA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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