Individual
MS. LISA M OWENS
Active
Individual
MS. LISA M OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002568
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197625
DEPT OF LABOR & INDUSTRIE
WA
Enumeration date
01/08/2007
Last updated
07/08/2007
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