Individual
MRS. MICHELLE LYN MADDRELL
Active
Individual
MRS. MICHELLE LYN MADDRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC AND OTL
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
3061
WA
225X00000X
Occupational Therapist
Primary
3007
WA
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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