Individual
AMYLYNNE SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
700 E JARED RD, SHELTON, WA 98584-7060
(253) 509-2652
Mailing address
700 E JARED RD, SHELTON, WA 98584-7060
(253) 509-2652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60536639
WA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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