Individual
FERN M O SUGITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS OTRL
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 203, LAKEWOOD, WA 98499-8000
(253) 582-8500
(253) 582-8506
Mailing address
4040 ORCHARD ST W, SUITE 100, FIRCREST, WA 98466-6606
(253) 564-1560
(253) 564-4449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8413379
—
WA
Enumeration date
05/03/2006
Last updated
09/17/2013
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