Individual
MS. MUKTI V GODBOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
2525 NE PARK DR, SUITE C, ISSAQUAH, WA 98029-2642
(425) 686-7405
(425) 341-9041
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 316-8046
(425) 338-9637
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003106
WA
225XH1200X
Hand Occupational Therapist
OT00003106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356816
L & I
WA
01
—
0356877
L & I
WA
05
—
2064622
—
WA
Enumeration date
09/16/2006
Last updated
11/28/2022
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