Individual
MS. HOLLY AMBER VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
932 NAKATA AVE NW, BAINBRIDGE ISLAND, WA 98110-1732
(206) 229-8619
Mailing address
932 NAKATA AVE NW, BAINBRIDGE ISLAND, WA 98110-1732
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT61078817
WA
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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