Individual
MS. DIANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
300 SW 7TH ST, RENTON, WA 98057-2307
(425) 204-2365
Mailing address
2810 E JOHN ST, SEATTLE, WA 98112-4808
(206) 427-6544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60827758
WA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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