Individual
BAYLEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
837 NE 59TH ST, SEATTLE, WA 98105-2735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61170051
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61170051
CRIDENTIAL NUMBER
WA
Enumeration date
08/30/2021
Last updated
08/30/2021
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