Individual
MAYA HELEN HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4636 E MARGINAL WAY S STE B100, SEATTLE, WA 98134-2322
(206) 763-0352
Mailing address
4907 37TH AVE S, SEATTLE, WA 98118-1720
(917) 517-9036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60926626
WA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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