Individual
MARY CHARVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 NW JUNIPER ST STE 100, ISSAQUAH, WA 98027-2717
(425) 369-4702
Mailing address
2044 MONTGOMERY AVE, ENUMCLAW, WA 98022-2806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61247660
WA
225X00000X
Occupational Therapist
TL61247661
WA
Other
Enumeration date
01/04/2022
Last updated
04/13/2022
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