Individual
LYNNE MARIE MACKEY-MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
6604 WILDAIRE RD SW, LAKEWOOD, WA 98499-1333
(253) 983-9309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001099
WA
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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