Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT00003788 | WA |
NPI | 1255739330 |
---|---|
Provider Name | Megan Lee Henry |
First Address | Auburn, WA 98001-4939 |
Second Address | Auburn, WA 98001-4939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2014 |
Last Update Date | 11/12/2014 |