Individual
MRS. REBECCA JUDY MERMOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1116 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-6640
(360) 452-9206
Mailing address
395 FORT GATE RD, NORDLAND, WA 98358-9516
(360) 379-1881
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000662
WA
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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