Individual
MS. MARILYN M NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19805 133RD PL SE, RENTON, WA 98058-7791
(253) 852-6944
Mailing address
19805 133RD PL SE, RENTON, WA 98058-7791
(253) 852-6944
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00001262
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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