Individual
LISA PATUREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19160 FRONT ST NE, POULSBO, WA 98370
(360) 779-7500
Mailing address
19160 FRONT ST NE, POULSBO, WA 98370
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60730100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201843218WA
—
WA
Enumeration date
04/18/2017
Last updated
04/20/2017
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