MEDICARE: MARTIN ARREDONDO PEREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT60842431	WA

General Provider Information

NPI Number	:	1639948276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN ARREDONDO PEREZ

Provider Business Mailing Address
First Line	:	2811 S 102ND ST
Second Line	:	SUITE 220
City	:	TUKWILA
State	:	WA
Zip	:	98168-1870
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2811 S 102ND ST
Second Line	:	SUITE 220
City	:	TUKWILA
State	:	WA
Zip	:	98168-1870
Country	:	US
Telephone Number	:	425-525-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2023
Last Update Date	:	12/22/2023

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Directions to “ MARTIN ARREDONDO PEREZ ” Practice Location

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