| NPI | 1164215125 |
|---|---|
| Former Legal Business Name | CORVIDAE CONSULTATION, LLC |
| Entity Type | Organization |
| Authorized Contact | REBECCA BERG Occupational Therapist 206-351-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-30 |