Individual
SERENA B MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11287 FIELDSTONE NELN, BAINBRIDGE ISLAND, WA 98110-4282
(206) 718-0795
Mailing address
11287 FIELDSTONE LN NE, BAINBRIDGE ISLAND, WA 98110-4282
(206) 855-8698
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003730
WA
225XN1300X
Neurorehabilitation Occupational Therapist
OT00003730
WA
Other
Enumeration date
07/03/2007
Last updated
12/08/2015
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