Individual
SUSANA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1495 NW GILMAN BLVD STE 4, ISSAQUAH, WA 98027-5328
(425) 392-2346
Mailing address
13850 SE 180TH ST UNIT 113, RENTON, WA 98058-6801
(206) 475-4040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
LA61483901
WA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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