Individual
MOLLIE ELIZABETH YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20367 45TH AVE NE, LAKE FOREST PARK, WA 98155-1713
(425) 830-1860
Mailing address
20367 45TH AVE NE, LAKE FOREST PARK, WA 98155-1713
(425) 830-1860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60199643
WA
225XM0800X
Mental Health Occupational Therapist
OT60199643
WA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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