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Individual

MICHAEL D. CRISP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2717 DEXTER AVE N, QAHC: REHAB DEPARTMENT, SEATTLE, WA 98109-1914
(206) 284-7012
Mailing address
2717 DEXTER AVE N, REHAB DEPARTMENT, SEATTLE, WA 98109-1914
(206) 284-7012

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003965
WA

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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