Individual
KATHLEEN A VILLYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 ROSS AVE NW, ORTING, WA 98360-7495
(206) 914-9950
Mailing address
1102 ROSS AVE NW, ORTING, WA 98360-7495
(206) 914-9950
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60918351
WA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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