Individual
MRS. DORIAN FORD
Active
Individual
MRS. DORIAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL,CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00000412
WA
225XH1200X
Hand Occupational Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031572
DEPT. OF LABOR&INDURSTIES
WA
05
—
8339830
—
WA
01
—
8931805
CRIME VICTUMS
WA
01
—
A004
TRICARE
WA
01
—
FO4753
REGENCE
WA
Enumeration date
04/14/2006
Last updated
12/03/2007
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