Individual
AMANDA L FERGUSON-CRADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1871 NW GILMAN BLVD, SUITE 2, ISSAQUAH, WA 98027-8116
(425) 657-0620
Mailing address
2212 MINOR AVE E, APT B, SEATTLE, WA 98102-3487
(617) 354-4394
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
60206380
WA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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