Individual
MRS. MOLLY CLAIRE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
32607 47TH AVE SW, FEDERAL WAY, WA 98023
(336) 504-3604
Mailing address
25722 SE TIGER MOUNTAIN RD, ISSAQUAH, WA 98027-8357
(336) 504-3604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11335
NC
225X00000X
Occupational Therapist
Primary
60880652
WA
Other
Enumeration date
09/27/2017
Last updated
08/30/2019
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