Individual
DAVID FOUQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10903 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1341
(253) 583-5000
Mailing address
18360 CALDART AVE NE, POULSBO, WA 98370-8775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
349041D
WA
225X00000X
Occupational Therapist
Primary
60071871
WA
Other
Enumeration date
11/02/2012
Last updated
05/05/2026
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