Individual
MARGO ELENA VANDER WOUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1322 LATTIMORE RD, FERNDALE, WA 98248-9424
(615) 516-3794
Mailing address
1322 LATTIMORE RD, FERNDALE, WA 98248-9424
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2942
TN
224Z00000X
Occupational Therapy Assistant
Primary
OTA.OC.61347119
WA
225700000X
Massage Therapist
MASS.MA.70155732
WA
Other
Enumeration date
08/16/2017
Last updated
08/03/2026
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