Individual
ALYSON BOTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Mailing address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.014129
IL
225X00000X
Occupational Therapist
Primary
61296457
WA
Other
Enumeration date
04/16/2021
Last updated
10/14/2022
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