Individual
NANCY CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14075 172ND AVE NE, REDMOND, WA 98052-2197
(425) 408-5300
Mailing address
19103 NE 168TH ST, WOODINVILLE, WA 98072-9104
(425) 408-0094
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00001498
WA
Other
Enumeration date
01/15/2009
Last updated
12/05/2012
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