Most Relevant Information
Provider Data
| NPI Number: | 1003696915 |
| Provider Name: | TAYLOR LYNN GUDA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OC61409073 |
Most Important Dates
| Enumeration Date: | 09/29/2023 |
| Last Updated: | 09/29/2023 |
Provider Practice Location
4640 S 144TH ST
TUKWILA
WA
981684134
Practice Location Phone/Fax
| Phone: | 2069018000 |
| Fax: |
Provider Mailing Location
31 ETRURIA ST APT C
SEATTLE
WA
981091685
Provider Mailing Phone/Fax
| Phone: | 7242058757 |
| Fax: |