Individual
CARLY I PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
502 N GLENN RD, SPOKANE VALLEY, WA 99206-5088
(253) 740-3177
Mailing address
502 N GLENN RD, SPOKANE VALLEY, WA 99206-5088
(253) 740-3177
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OC 60570760
WA
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1494
ID
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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