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Individual

JULIE E MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR

Contact information

Practice address
611 E AGATE RD, SHELTON, WA 98584-7306
(360) 426-9115
Mailing address
611 E AGATE RD, SHELTON, WA 98584-7306
(360) 426-9115

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00783
WA

Other

Enumeration date
10/14/2013
Last updated
10/14/2013
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