Individual
MS. MARISA ROSE DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Mailing address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60630824
WA
225XG0600X
Gerontology Occupational Therapist
OT60630824
WA
225XP0200X
Pediatric Occupational Therapist
OT60630824
WA
Other
Enumeration date
03/24/2016
Last updated
09/21/2020
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