Individual
AMANDA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9004 191ST ST E, PUYALLUP, WA 98375-6149
(907) 388-5667
Mailing address
9004 191ST ST E, PUYALLUP, WA 98375-6149
(907) 388-5667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60546651
WA
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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