Individual
JOHANNA M OVERHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
17 E 8TH AVE, SPOKANE, WA 99202-1201
(509) 474-7941
Mailing address
16271 N TAMARAC LN, NINE MILE FALLS, WA 99026
(509) 995-3762
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT60067320
WA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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