Individual
HELENA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2402 NW 195TH PL, SHORELINE, WA 98177-2932
(206) 364-3777
Mailing address
2402 NW 195TH PL, SHORELINE, WA 98177-2932
(206) 364-3777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60561361
WA
225X00000X
Occupational Therapist
Primary
OT61404671
WA
Other
Enumeration date
10/22/2018
Last updated
03/21/2024
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