Individual
DANETTE K SADLE-GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(503) 970-0044
Mailing address
3540 SW HUME ST, PORTLAND, OR 97219-3758
(503) 970-0044
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT61578241
WA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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