Individual
CAROLYN YATSU WYBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.L.
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7304
(425) 258-7136
Mailing address
10816 56TH PL W, MUKILTEO, WA 98275-4618
(425) 348-5833
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT0000730
WA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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