MR. Sandra Tissell, OTRL

NPI #1265638670 in Edmonds, Washington

Provider Information

NPI Number: 1265638670
Entity Type: Individual
Name: MR. Sandra Tissell, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Jun 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 21400 72ND AVE W
City: Edmonds
State: Washington
ZIP Code: 98026-7702
Phone: (425) 775-1961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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