Individual
MARREM PENAFLOR AIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
785 SE BAYSHORE DR STE 102, OAK HARBOR, WA 98277-3275
(360) 279-8323
(360) 279-8772
Mailing address
1770 NW OUTRIGGER LOOP, OAK HARBOR, WA 98277-7254
(224) 616-0834
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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