Individual
SUSAN DIANE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19303 FREMONT AVE N, MS 84, SHORELINE, WA 98133-3800
(206) 546-7400
Mailing address
22725 22ND DR SE, A202, BOTHELL, WA 98021-7224
(425) 786-3193
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60382904
WA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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