Organization
WILLOW PEDIATRIC THERAPY PLLC
Active
Organization
WILLOW PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA STUART MOT OTR/L C/NDT (OWNER)
(253) 200-5314
Entity
Organization
Contact information
Practice address
11904 214TH ST E, GRAHAM, WA 98338-7264
(253) 200-5314
Mailing address
PO BOX 742, GRAHAM, WA 98338-0742
(253) 200-5314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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