Individual
TODD MALTZAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4523 153RD AVENUE CT E, SUMNER, WA 98390-2808
(253) 653-9879
Mailing address
4523 153RD AVENUE CT E, SUMNER, WA 98390-2808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003917
WA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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