Individual
MS. KATHERINE RAE MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
314 MILROY ST NW, OLYMPIA, WA 98502-4930
(360) 463-8488
Mailing address
314 MILROY ST NW, OLYMPIA, WA 98502-4930
(360) 463-8488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00000649
WA
225XP0200X
Pediatric Occupational Therapist
Primary
OT00000649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT00000649
LICENSE
WA
Enumeration date
05/24/2018
Last updated
07/21/2022
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