Individual
HEATHER RENEE FOGED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11800 NE 128TH ST, 200, KIRKLAND, WA 98034-7211
(509) 251-7481
Mailing address
11800 NE 128TH ST, 200, KIRKLAND, WA 98034
(425) 287-2380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60203444
WA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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