Individual
MELISSA REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
601 W 5TH AVE STE 308, SPOKANE, WA 99204-2714
(509) 624-2353
(509) 624-2501
Mailing address
100 DENNIS ST SW, STE B, TUMWATER, WA 98501-6523
(360) 338-0181
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60732419
WA
Other
Enumeration date
03/29/2017
Last updated
10/14/2020
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