Individual
MADDISON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 NE 134TH ST STE 140, VANCOUVER, WA 98686-3036
(360) 859-1354
Mailing address
2621 NE 134TH ST STE 140, VANCOUVER, WA 98686-3036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60759667
WA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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