Individual
MELINDA PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 15TH AVE E, SEATTLE, WA 98112-5260
(206) 326-3000
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
PT00003422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410748
—
WA
Enumeration date
01/19/2007
Last updated
10/15/2007
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