Individual
MAIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
565 NW HOLLY ST, ISSAQUAH SCHOOL DISTRICT ADMINISTRATION BUILDING, ISSAQUAH, WA 98027-2834
(425) 837-6860
Mailing address
565 NW HOLLY ST, ISSAQUAH SCHOOL DISTRICT ADMINISTRATION BUILDING, ISSAQUAH, WA 98027-2834
(425) 837-6860
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
60470351
WA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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