Individual
ELISABETH RENEE AGYEKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4012 105TH PL SE, EVERETT, WA 98208-4661
(206) 859-7827
Mailing address
4012 105TH PL SE, EVERETT, WA 98208-4661
(206) 859-7827
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60268951
WA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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