Organization
LITTLE MOUNTAIN OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCCLURE MOT, OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(409) 502-0018
Entity
Organization
Contact information
Practice address
418 NE TOHOMISH ST, #300, WHITE SALMON, WA 98672
(409) 502-0018
(360) 524-7872
Mailing address
PO BOX 303, TROUT LAKE, WA 98650-0303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720336720
INDIVIDUAL NPI
—
05
—
500650061
—
OR
Enumeration date
01/04/2021
Last updated
01/04/2021
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