Individual
BREANA WERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 112TH AVE NE, #100, BELLEVUE, WA 98004-2944
(425) 748-7000
Mailing address
2101 112TH AVE NE, #100, BELLEVUE, WA 98004-2944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60640925
WA
Other
Enumeration date
04/21/2016
Last updated
03/26/2017
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