Individual
KIYOMI MARY MOZLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22705 24TH AVE S, DES MOINES, WA 98198-7167
(206) 631-5800
Mailing address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61539778
WA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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