Individual
CRISTY WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29423 SE 278TH ST, RAVENSDALE, WA 98051-9717
(206) 818-8975
Mailing address
29423 SE 278TH ST, RAVENSDALE, WA 98051-9717
(206) 818-8975
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60538422
WA
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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