Individual
MEGAN ROSE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1701 NE COLUMBIA RD, SEATTLE, WA 98195-0001
(415) 525-0659
Mailing address
8709 382ND AVE SE, SNOQUALMIE, WA 98065-9623
(415) 525-0659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61248812
WA
Other
Enumeration date
02/23/2022
Last updated
08/13/2024
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