DIANA WALLACE

RENTON, WA
NPI1669859849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WA  OT 00001911)
Enumeration Date2015-04-27
Last Update Date2015-04-27
Business Address
-- DIANA WALLACE OT
1207 N 33RD ST
RENTON, WA 98056-1943
Phone number: 425-255-5465
Mailing Address
-- DIANA WALLACE OT
1207 N 33RD ST
RENTON, WA 98056-1943
Phone number: 425-255-5465
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