Individual
MICHELLE MARIE BROWN
Active
Individual
MICHELLE MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00012319
WA
225X00000X
Occupational Therapist
Primary
OT60213394
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0290899
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
1568760106
—
WA
Enumeration date
03/07/2011
Last updated
05/12/2021
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