Individual
DR. GEETIKA MUKKAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
710 NW JUNIPER ST STE 100, ISSAQUAH, WA 98027-2717
(425) 615-7771
Mailing address
626 120TH AVE NE STE B100, BELLEVUE, WA 98005-3021
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT61598108
WA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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