Individual
TAMI LYNNE FURGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
11104 NE 149TH ST, BRUSH PRAIRIE, WA 98606-9565
(360) 855-5300
Mailing address
12914 NE 13TH AVE, VANCOUVER, WA 98685-3156
(623) 694-4300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61200001
WA
225X00000X
Occupational Therapist
9472
NC
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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