Individual
ANDREA MARIE FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5516
(425) 656-4028
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5516
(425) 656-4028
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OXC00001261
WA
Other
Enumeration date
06/02/2009
Last updated
05/27/2016
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