Individual
BRIAN LEFAVOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1002 LAKE ST S, KIRKLAND, WA 98033-6809
(425) 307-4673
Mailing address
2929 169TH ST SE, BOTHELL, WA 98012-6632
(425) 275-8455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60779120
WA
Other
Enumeration date
11/11/2021
Last updated
02/09/2023
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