Individual
LORENA LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
128 BEACON HILL DR, LONGVIEW, WA 98632-5859
(360) 423-4060
Mailing address
128 BEACON HILL DR, LONGVIEW, WA 98632-5859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60453692
WA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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