Individual
STEVEN FOREAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1010 S 336TH ST, SUITE 210, FEDERAL WAY, WA 98003-6385
(866) 835-8091
(888) 835-7102
Mailing address
1010 S 336TH ST, SUITE 210, FEDERAL WAY, WA 98003-6385
(866) 835-8091
(888) 835-7102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60221632
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
UNKNOWN
WA
Enumeration date
04/16/2014
Last updated
04/16/2014
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