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Individual

SCOTT MANGUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
221 1ST ST UNIT 313, KIRKLAND, WA 98033-6169
(206) 422-4681
Mailing address
221 1ST ST UNIT 313, KIRKLAND, WA 98033-6169
(206) 422-4681

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60321757
WA

Other

Enumeration date
01/15/2014
Last updated
01/15/2014
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