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Individual

DANIEL SCOTT FALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
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
OT00000750
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010147787
REGENCE BLUE SHIELD
ID
01
0806FA
ASURIS NW HEALTH
WA
01
8939073
DEPT LABOR & INDUSTRIES
WA
Enumeration date
11/14/2006
Last updated
07/08/2007
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