Individual
MS. JULIE M FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 N 4TH AVE, YAKIMA, WA 98902-2636
(509) 573-5064
(509) 573-5010
Mailing address
104 N 4TH AVE, YAKIMA, WA 98902-2636
(509) 573-5064
(509) 573-5010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00003063
WA
314000000X
Skilled Nursing Facility
OT00003063
WA
Other
Enumeration date
06/20/2008
Last updated
12/10/2012
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