Individual
ELIZABETH WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
325 9TH AVE, BOX 359819, SEATTLE, WA 98104-2420
(206) 744-5909
Mailing address
325 9TH AVE, BOX 359819, SEATTLE, WA 98104-2420
(206) 744-5909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TL10000815
WA
225XN1300X
Neurorehabilitation Occupational Therapist
TL10000815
WA
225XP0200X
Pediatric Occupational Therapist
TL10000815
WA
Other
Enumeration date
02/22/2008
Last updated
03/24/2008
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