Individual
MRS. BECKY SUE ISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
721 OTIS AVE, SUNNYSIDE, WA 98944-2328
(509) 837-2122
Mailing address
1020 ELM ST, PROSSER, WA 99350-1016
(509) 786-1066
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OCOOOOO822
WA
Other
Enumeration date
05/14/2007
Last updated
06/23/2009
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