Individual
MARY J RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
(253) 835-8091
Mailing address
1916 S 9TH AVE, UNION GAP, WA 98903-1361
(509) 930-8336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC00000646
OTA
WA
Enumeration date
01/04/2008
Last updated
01/04/2008
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