Individual
RYAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
8320 5TH AVE NE STE A, SEATTLE, WA 98115-4174
(206) 650-8653
Mailing address
8320 5TH AVE NE STE A, SEATTLE, WA 98115-4174
(206) 650-8653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60662045
WA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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