Individual
KANYARAK YANAWUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR
Contact information
Practice address
13037 NE BEL RED RD STE 102, BELLEVUE, WA 98005-2618
(425) 502-9440
Mailing address
123 112TH AVE NE APT 411, BELLEVUE, WA 98004-6493
(314) 898-7866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
WA
225XP0200X
Pediatric Occupational Therapist
—
WA
Other
Enumeration date
03/25/2025
Last updated
03/27/2025
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