Individual
JOANNA KAYLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1600 121ST ST SE, L103, EVERETT, WA 98208-5999
(425) 773-1653
(206) 694-2290
Mailing address
1600 121ST ST SE, L103, EVERETT, WA 98208-5999
(425) 773-1653
(206) 694-2290
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OC 00000811
WA
Other
Enumeration date
01/11/2014
Last updated
01/11/2014
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