Individual
STARR CEARRA CORNYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 WALL ST, EVERETT, WA 98201-3761
(425) 512-8695
Mailing address
13320 23RD AVE SE, MILL CREEK, WA 98012-4513
(253) 222-7828
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61149991
WA
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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