Individual
ILEANNA ZABALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6908 30TH AVE S, SEATTLE, WA 98108-3768
(206) 930-4285
Mailing address
5621 22ND AVE NW APT 412, SEATTLE, WA 98107-3472
(360) 213-9626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60487846
WA
225X00000X
Occupational Therapist
Primary
OT61038681
WA
Other
Enumeration date
08/08/2014
Last updated
07/08/2020
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