Individual
MS. SUSAN LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
9575 ETHAN WADE WAY SE, SNOQUALMIE, WA 98065-9577
(425) 831-2300
Mailing address
17306 430TH AVE SE, NORTH BEND, WA 98045-9615
(425) 888-4816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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