Individual
RUBY DODGE STONE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4700 SW ADMIRAL WAY, SEATTLE, WA 98116-2386
(802) 829-0371
Mailing address
669 S KING ST UNIT 426, SEATTLE, WA 98104-3312
(802) 829-0371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61252755
WA
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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