Individual
AILEEN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17559 110TH LN SE, RENTON, WA 98055-6480
(407) 790-6002
Mailing address
17559 110TH LN SE, RENTON, WA 98055-6480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 12942
FL
225X00000X
Occupational Therapist
Primary
OT 60044826
WA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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