Individual
MRS. SUSAN DALE DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.O.T., M.SC. PH.D.
Contact information
Practice address
3305 MAIN ST STE 304, VANCOUVER, WA 98663-2251
(360) 723-5145
(360) 282-6863
Mailing address
3305 MAIN ST STE 304, VANCOUVER, WA 98663-2251
(360) 723-5145
(360) 282-6863
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
OT00001975
WA
225X00000X
Occupational Therapist
Primary
00001975
WA
225X00000X
Occupational Therapist
986704
OR
225XL0004X
Low Vision Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2072895
—
WA
Enumeration date
03/13/2013
Last updated
03/13/2020
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