Individual
MRS. DEANA ANN OSTGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2929 MCDOUGALL AVE, ENUMCLAW, WA 98022-7410
(360) 802-7125
(360) 802-7140
Mailing address
2929 MCDOUGALL AVE, ENUMCLAW, WA 98022-7410
(360) 802-7125
(360) 802-7140
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
LA 60497514
WA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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