Individual
MIRA WASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
515 KIRKLAND WAY, KIRKLAND, WA 98033-6219
(425) 827-7031
(425) 827-0102
Mailing address
515 KIRKLAND WAY, KIRKLAND, WA 98033-6219
(425) 827-7031
(425) 827-0102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3335
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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