Individual
MISS RACHEL C LAGRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
816 NE 190TH ST, SHORELINE, WA 98155-2249
(206) 364-3777
(206) 364-3999
Mailing address
PO BOX 55399, SHORELINE, WA 98155-0399
(206) 364-3777
(206) 364-3999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60041845
WA
225XP0200X
Pediatric Occupational Therapist
OT60041845
WA
Other
Enumeration date
02/26/2009
Last updated
08/31/2011
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