Individual
MS. PAULINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21008 76TH AVE W, EDMONDS, WA 98026-7104
(425) 774-8121
Mailing address
20208 84TH PL W, EDMONDS, WA 98026-6604
(425) 778-2948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001629
WA
Other
Enumeration date
04/10/2010
Last updated
04/10/2010
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