Individual
ANDREA GAEL RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5492 S MYRTLE AVE, FREELAND, WA 98249
(360) 544-2820
Mailing address
4661 SMUGGLERS COVE RD, FREELAND, WA 98249-9669
(360) 544-2820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60696576
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2073271
—
WA
Enumeration date
12/22/2008
Last updated
02/14/2017
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