Individual
ELISSA SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
33330 8TH AVE S, FEDERAL WAY, WA 98003-6325
(253) 945-4015
Mailing address
21630 SE 257TH PL, MAPLE VALLEY, WA 98038-7575
(317) 847-7921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60676493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 60676493
OCCUPATIONAL THERAPY LICENSE
WA
Enumeration date
09/07/2016
Last updated
09/07/2016
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