Individual
MRS. KATHRYN WYNKOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
525 N.W. HOLLY ST., ISSAQUAH, WA 98027
(425) 837-5652
Mailing address
525 NW HOLLY ST., ISSAQUAH, WA 98027
(425) 837-5652
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
OT00000853
WA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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