Individual
SIREA MANRADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12031A 33RD AVE NE, SEATTLE, WA 98125-5607
(407) 574-9362
Mailing address
PO BOX 150601, SAN RAFAEL, CA 94915-0601
(407) 574-9362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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