Individual
MRS. REBECCA RENEE WILLIS-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
18504 BOTHELL WAY NE, BOTHELL, WA 98011-1927
(425) 481-1933
(425) 481-9371
Mailing address
18504 BOTHELL WAY NE, BOTHELL, WA 98011-1927
(425) 481-1933
(425) 481-9371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225X00000X
OCCUPATIONAL THERAPY
WA
Enumeration date
06/10/2009
Last updated
06/10/2009
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