Individual
MS. MYRA KIM FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4515 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98108-2182
(206) 320-5325
Mailing address
4515 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98108-2182
(206) 320-5325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00000528
WA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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