Individual
MS. BONNIE MORITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
(425) 431-7000
Mailing address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
(425) 431-7000
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 00000776
WA
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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