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Individual

MRS. MARYBETH AGNES DUNWOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
12033 SE 256TH ST, KENT, WA 98030-6503
(253) 373-7000
Mailing address
2214 275TH CT SE, SAMMAMISH, WA 98075-7942
(425) 313-4630

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60299233
WA

Other

Enumeration date
03/01/2013
Last updated
03/01/2013
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