Individual
MALLIKA PONNAPPA PALECANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1495 NW GILMAN BLVD, ISSAQUAH, WA 98027-8975
(425) 392-2346
Mailing address
1495 NW GILMAN BLVD, ISSAQUAH, WA 98027-8975
(425) 392-2346
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61254977
WA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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