Individual
KENNETH EASTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 E CHESTNUT ST, BELLINGHAM, WA 98225-5221
(360) 788-6420
Mailing address
4041 GLORIA LN, BELLINGHAM, WA 98226-1733
(360) 676-8753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00003228
WA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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