Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 60637762 | WA |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 60637762 | WA |
NPI | 1366994659 |
---|---|
Provider Name | Karlene Mah |
First Address | Renton, WA 98056-5810 |
Second Address | Bellevue, WA 98004-3821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2016 |
Last Update Date | 02/11/2016 |