Individual
MS. HEATHER GRACE JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 LYNCH STREET W., EATONVILLE, WA 98328-0698
(360) 879-1800
Mailing address
PO BOX 698, EATONVILLE, WA 98328-0698
(360) 879-1800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004317
WA
Other
Enumeration date
10/06/2006
Last updated
11/07/2012
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