Individual
JENNIFER LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 E ELEP AVE, COLVILLE, WA 99114-5014
(509) 684-2573
Mailing address
676 E 3RD AVE, COLVILLE, WA 99114-2924
(509) 685-9010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OT 00001342
WA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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