Individual
MRS. KATHRYN ANN MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
404 LONG AVE, KELSO, WA 98626-1116
(360) 501-1581
Mailing address
404 LONG AVE, KELSO, WA 98626-1116
(360) 501-1581
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 00001074
WA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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