Individual
JOY E EASTGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2118 W GARLAND AVE, SPOKANE, WA 99205-2526
(509) 326-1651
(509) 326-1658
Mailing address
2118 W GARLAND AVE, SPOKANE, WA 99205-2526
(509) 326-1651
(509) 326-1658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000949
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010147794
REGENCE BLUE SHIELD
ID
01
—
1398EA
ASURIS NW HEALTH
WA
01
—
8930559
DEPT LABOR & INDUSTRIES
WA
Enumeration date
11/14/2006
Last updated
07/08/2007
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