Individual
MRS. AMY ELIZABETH OTTAVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1113 LEGION WAY SE, OLYMPIA, WA 98501-1652
(360) 596-7530
Mailing address
124 FOOTE ST NW, OLYMPIA, WA 98502-5426
(360) 753-7445
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00003290
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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