Individual
AMY DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1871 NW GILMAN BLVD #2, ISSAQUAH, WA 98027
(425) 657-0620
Mailing address
1871 NW GILMAN BLVD #2, ISSAQUAH, WA 98027
(425) 657-0620
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60601765
WA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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