Individual
LORI DENISE ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-4014
Mailing address
2613 NE EVERETT ST, CAMAS, WA 98607-9557
(360) 834-4479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224Z00000X
—
WA
Enumeration date
09/29/2014
Last updated
04/30/2021
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