Individual
TANA O'ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1315 HANSBERRY AVE NE, ORTING, WA 98360-7447
(360) 688-0092
Mailing address
1315 HANSBERRY AVE NE, ORTING, WA 98360-7447
(360) 688-0092
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTP-OT-LIC-4605
MT
Other
Enumeration date
12/04/2008
Last updated
08/01/2016
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