Individual
ELISABETH LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 S 336TH ST, STE 210, FEDERAL WAY, WA 98003-6385
(253) 835-5569
Mailing address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
(435) 645-0788
(435) 645-0792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60194259
WA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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