Individual
KELLY MELISSA SENNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2323 JENSEN ST, ENUMCLAW, WA 98022-3605
(360) 825-2541
Mailing address
23317 SE 264TH ST, MAPLE VALLEY, WA 98038-6825
(206) 930-0843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61133001
WA
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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