Individual
MS. KATHLEEN MARIE SCHAEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1216 FAIR VIEW LANE EAST, UNIT 1, MONTESANO, WA 98563
(503) 871-0225
Mailing address
P.O. BOX 873, MONTESANO, WA 98563
(503) 871-0225
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
373449
OR
225XN1300X
Neurorehabilitation Occupational Therapist
60048074
WA
225XP0200X
Pediatric Occupational Therapist
1143
MT
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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