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Individual

MR. SCOT M REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTL

Contact information

Practice address
800 N MEDCALF LN, MONTESANO, WA 98563-1318
(360) 249-2273
Mailing address
2914 1/2 HEWITT AVE, EVERETT, WA 98201-3822
(701) 426-4189

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TL60096141
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TL60096141
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
07/16/2009
Last updated
07/16/2009
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