Individual
MRS. LORA S CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-4482
Mailing address
1833 VISTA LOOP SW, TUMWATER, WA 98512-1446
(360) 481-3114
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60144967
WA
Other
Enumeration date
03/05/2007
Last updated
07/29/2011
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