Individual
TARA AIME WUERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 433-0111
Mailing address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60088036
WA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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