NPI 1114189339

Mary Ann Mijanovich

Practitioner Occupational Therapist Shelton, WA

Practice location

Address: 1850 SE Crescent Dr, Shelton, WA 98584-8670
Phone: (360) 868-2024
Mailing address: 2430 N 13th St, Shelton, WA 98584-1213

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT00001926 (WA)

Other Occupational Therapist providers in Washington →

Registry record

NPI: 1114189339
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2008
Record last updated: 29 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.