Individual
MISS HALEY WENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20310 19TH AVE NE, SHORELINE, WA 98155-1261
(206) 367-5853
Mailing address
20310 19TH AVE NE, SHORELINE, WA 98155-1261
(206) 367-5853
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60550086
WA
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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