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Individual

CAROL J HUGHES KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
710 NW JUNIPER ST, SUITE 106, ISSAQUAH, WA 98027-2717
(425) 392-2346
(425) 392-0185
Mailing address
PO BOX 819, ORTING, WA 98360-0819
(360) 893-6576
(800) 661-0688

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000754
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3596KI
BLUE SHIELD
WA
05
8396590
WA
05
8419830
WA
01
KI2971
BLUE SHIELD VM
WA
01
US0864551
AETNA SPECIALIST PIN VM
WA
Enumeration date
09/26/2005
Last updated
05/30/2008
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