Individual
MARREM PENAFLOR AIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60857078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT60857078
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/26/2018
Last updated
03/26/2019
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