Individual
ROBIN ELIZABETH BRADBURY VANHOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
1013 E COEUR DALENE AVE, COEUR D ALENE, ID 83814-4121
(208) 755-8511
(999) 999-9999
Mailing address
509 S SHERMAN ST, SPOKANE, WA 99202-4918
(208) 755-8511
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004340
WA
225XP0200X
Pediatric Occupational Therapist
OT-746
ID
Other
Enumeration date
11/15/2006
Last updated
07/01/2012
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