Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT60135957 | WA |
NPI | 1003148982 |
---|---|
Provider Name | Mrs. Katherine Mae Sweigart |
First Address | Milwaukie, OR 97222 |
Second Address | Tacoma, WA 98406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2010 |
Last Update Date | 03/02/2010 |