Individual
MR. MARK ELIAS GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
33330 8TH AVE S, FEDERAL WAY, WA 98003-6325
(253) 945-2000
Mailing address
33330 8TH AVE S, FEDERAL WAY, WA 98003-6325
(253) 945-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60791012
WA
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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