Individual
MRS. BILLIE JEAN OTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
22443 SE 240TH ST, STE 206, MAPLE VALLEY, WA 98038-5898
(425) 358-3070
Mailing address
22443 SE 240TH ST, STE 206, MAPLE VALLEY, WA 98038-5898
(425) 358-3070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60408508
WA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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