Individual
AYUMI GOTHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14900 1ST AVE NE, SHORELINE, WA 98155-6800
(206) 279-3448
Mailing address
2613 NW 86TH ST, SEATTLE, WA 98117-3838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.OT.70052251
WA
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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