Individual
CASEY VALENTINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
(425) 431-7000
Mailing address
14820 29TH DR SE, MILL CREEK, WA 98012-4840
(425) 412-0332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61408741
WA
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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