Individual
MRS. KATHRYN MATALA MATSUBUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3010 S SOUTHEAST BLVD STE G, SPOKANE, WA 99223-3542
(509) 532-0500
(509) 532-8810
Mailing address
3010 S SOUTHEAST BLVD STE G, SPOKANE, WA 99223-3542
(509) 532-0500
(509) 532-8810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0351054
DEPT OF L&I
WA
05
—
1056882
—
WA
Enumeration date
05/22/2007
Last updated
04/22/2021
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