Individual
ELEANOR JOYCE WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12033 SE 256TH ST, KENT, WA 98030-6503
(253) 373-7000
Mailing address
19728 244TH AVE SE, MAPLE VALLEY, WA 98038-8833
(425) 413-2481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60172974
WA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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