Individual
ELIZABETH PACKARD CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1601 E YESLER WAY, SEATTLE, WA 98122-5640
(206) 313-7100
Mailing address
9444 14TH AVE SW, SEATTLE, WA 98106-2811
(925) 286-1341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60729894
WA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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