Individual
MINDA B RAQUIPISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
716 BOYER AVE, WALLA WALLA, WA 99362-2310
(509) 378-9920
Mailing address
716 BOYER AVE, WALLA WALLA, WA 99362
(509) 378-9920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60205941
WA
Other
Enumeration date
02/18/2008
Last updated
01/06/2014
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