Individual
RENAE LEWANDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4510 INTELCO LOOP SE, STE B, LACEY, WA 98503
(360) 786-1753
(360) 786-1793
Mailing address
4510 INTELCO LOOP SE, STE. B, LACEY, WA 98503
(360) 786-1753
(360) 786-1793
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00002052
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7682636
—
WA
Enumeration date
11/29/2005
Last updated
04/19/2016
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