Individual
MISS ELIZABETH MARGUERITE MUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTRL
Contact information
Practice address
35535 6TH PLACE SW, FEDERAL WAY, WA 98023
(253) 874-5445
(253) 874-0687
Mailing address
PO BOX 24269, BIRTH TO THREE DEVELOPMENT CENTER, FEDERAL WAY, WA 98093-1269
(253) 874-5445
(253) 874-0687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003709
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3799MU
REGENCE BS
WA
05
—
8367682
—
WA
Enumeration date
12/11/2006
Last updated
07/08/2007
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