Individual
YURIKO IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
636 24TH ST S, ARLINGTON, VA 22202-2526
(509) 339-5411
Mailing address
636 24TH ST S, ARLINGTON, VA 22202-2526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005838
VA
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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