Individual
KIMBERLY K CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6808 220TH ST SW STE 200, MOUNTLAKE TERRACE, WA 98043-2187
(425) 673-3916
(425) 673-3926
Mailing address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 673-3916
(425) 673-3916
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT00001441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126856
—
WA
01
—
249810
WA LABOR & INDUSTRIES
WA
Enumeration date
02/06/2007
Last updated
12/22/2021
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