Individual
LITTLEPAGE TALIAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3000
Mailing address
612 NW 70TH ST, SEATTLE, WA 98117-5047
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
61038938
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
436469
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
01
—
61038938
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
10/22/2020
Last updated
10/22/2020
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