Individual
HEIDI C FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17121 E 8TH AVE, SPOKANE VALLEY, WA 99016-8556
(425) 749-6403
Mailing address
120 S HOLIDAY RD, SPOKANE VALLEY, WA 99016-5095
(425) 749-6403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001062
WA
Other
Enumeration date
09/28/2007
Last updated
07/30/2009
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