Individual
MITCHELL HISAO SUZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
17792 147TH ST SE, MONROE, WA 98272-1030
(360) 794-4892
(360) 794-4679
Mailing address
2513 87TH AVE NE, EVERETT, WA 98205-1210
(425) 238-2313
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT00001201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7681455
—
WA
Enumeration date
11/15/2006
Last updated
07/09/2007
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