Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3041 | IL |
N | 226300000X | Kinesiotherapist |
NPI | 1174711923 |
---|---|
Provider Name | Kathleen Gail Wainwright |
First Address | Seattle, WA 98115 |
Second Address | Seattle, WA 98115-4340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2007 |
Last Update Date | 05/10/2007 |