Individual
DANIELLE LAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9600 SHARON DR, HOUSE 1 - EXPLORER MIDDLE SCHOOL, EVERETT, WA 98204-2650
(425) 356-1228
Mailing address
9600 SHARON DR, HOUSE 1 - EXPLORER MIDDLE SCHOOL, EVERETT, WA 98204-2650
(425) 356-1228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002506
WA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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