Individual
SAMUEL ONISOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21106 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8788
(425) 264-8401
Mailing address
21106 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8788
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61036797
WA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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