Individual
KATHERINE J. SKOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
16030 BOTHELL EVERETT HWY STE 140, MILL CREEK, WA 98012-1273
(425) 338-9005
Mailing address
1120 MILL CREEK BLVD # D208, MILL CREEK, WA 98012-3016
(425) 385-3148
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00004051
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8074SK
REGENCE PIN#
WA
05
—
8426694
—
WA
Enumeration date
10/06/2006
Last updated
07/08/2007
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