Individual
DANIEL SCOTT FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
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
Update your record
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