Individual
MOLLY GOODMAN ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(206) 417-6947
Mailing address
1815 N 43RD ST, SEATTLE, WA 98103-7526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001699
WA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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