Individual
MRS. LISA ANN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1045 S 308TH ST, FEDERAL WAY, WA 98003-4706
(253) 946-2273
(253) 946-0685
Mailing address
1045 S 308TH ST, FEDERAL WAY, WA 98003-4706
(253) 946-2273
(253) 946-0685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 60279870
WA
225XG0600X
Gerontology Occupational Therapist
OT 60279870
WA
225XH1300X
Human Factors Occupational Therapist
OT 60279870
WA
225XM0800X
Mental Health Occupational Therapist
OT 60279870
WA
225XN1300X
Neurorehabilitation Occupational Therapist
OT 60279870
WA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT 60279870
WA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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