Individual
MRS. COLLEEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
(360) 260-2200
(360) 713-0967
Mailing address
801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
(360) 260-2200
(360) 713-0967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004446
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112819
—
WA
Enumeration date
01/17/2014
Last updated
01/17/2014
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