Individual
KELLY SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
10564 5TH AVE NE STE 302, SEATTLE, WA 98125-7200
(909) 635-4814
Mailing address
1620B N 46TH ST, SEATTLE, WA 98103-6714
(909) 635-4814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60938017
WA
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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