Individual
IRENE ELIZABETH INFANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1805 53RD LOOP SE, OLYMPIA, WA 98501-8003
(360) 584-0221
Mailing address
PO BOX 11128, OLYMPIA, WA 98508-1128
(360) 584-0221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001630
WA
Other
Enumeration date
04/18/2010
Last updated
04/18/2010
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