Individual
CORLISS BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12111 NE 1ST ST, BELLEVUE, WA 98005-3181
(425) 456-4144
Mailing address
12111 NE 1ST ST, BELLEVUE, WA 98005-3181
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00000301
WA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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