Individual
MS. SUZANNE L. DERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S LAVENTURE RD, MOUNT VERNON, WA 98274-6033
(360) 424-2400
(360) 424-2418
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT00002797
WA
Other
Enumeration date
06/12/2006
Last updated
12/30/2013
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