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1093744252
MATTHEW MARK THAUT
EVERETT, WA
NPI
1093744252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT00003736)
Enumeration Date
2006-07-01
Last Update Date
2007-07-08
Business Address
-- MATTHEW MARK THAUT OTR/L
916 PACIFIC AVE
EVERETT, WA 98201-4147
Phone number: 425-258-7600
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Mailing Address
-- MATTHEW MARK THAUT OTR/L
3319 COLBY AVE APT. 202
EVERETT, WA 98201-4342
Phone number: 425-257-1336
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