Individual
KATELYN LANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 PACIFIC PL, MOUNT VERNON, WA 98273-5463
(360) 416-7570
(360) 416-7580
Mailing address
320 PACIFIC PL, MOUNT VERNON, WA 98273-5463
(360) 416-7570
(360) 416-7580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61161445
WA
Other
Enumeration date
11/13/2019
Last updated
05/07/2024
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