Individual
LOUISSA MAE ATILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
520 112TH ST SW, EVERETT, WA 98204-4828
(425) 490-5518
Mailing address
315 1ST AVE N APT 241, SEATTLE, WA 98109-4775
(917) 626-3450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
021761
NY
225X00000X
Occupational Therapist
46TR00789400
NJ
225X00000X
Occupational Therapist
Primary
OT60861865
WA
Other
Enumeration date
08/23/2017
Last updated
02/11/2022
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