Individual
ANTHONY SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11422 SE 265TH ST, KENT, WA 98030-8486
(253) 813-5512
Mailing address
11422 SE 265TH ST, KENT, WA 98030-8486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
OT61480773
WA
Other
Enumeration date
05/15/2016
Last updated
09/06/2023
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