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1992270003
SHANNON MCGARRY WIESE
RENTON, WA
NPI
1992270003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT60821432)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
SHANNON MCGARRY WIESE MOT, OTR/L
1800 INDEX AVE NE
RENTON, WA 98056-2314
Phone number: 425-224-2200
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Mailing Address
SHANNON MCGARRY WIESE MOT, OTR/L
15517 27TH DR SE
MILL CREEK, WA 98012-4845
Phone number: 425-308-2509
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