Individual
LISA EVERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
16411 NE 24TH ST, BELLEVUE, WA 98008-2427
(425) 456-5700
(425) 456-5702
Mailing address
16411 NE 24TH ST, BELLEVUE, WA 98008-2427
(425) 456-5700
(425) 456-5702
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/16/2012
Last updated
12/16/2012
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