Individual
KELLEY ANNE COUVILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2445 3RD AVE S, SEATTLE, WA 98134-1923
(206) 252-7187
Mailing address
1710 15TH AVE S, SEATTLE, WA 98144-4212
(206) 328-9888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00003235
WA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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