Individual
MRS. MARY BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 NE 3RD ST, COUPEVILLE, WA 98239-3427
(360) 678-2273
Mailing address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003989
WA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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