Individual
SEGORNAE BEULAH-ZOE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12509 E MISSION AVE STE 202, SPOKANE VALLEY, WA 99216-1062
(509) 444-5678
(509) 343-5678
Mailing address
12509 E MISSION AVE STE 202, SPOKANE VALLEY, WA 99216-1062
(509) 444-5678
(509) 343-5678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60139321
WA
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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