Individual
CARLA L EAGLEBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, LMT
Contact information
Practice address
811 N DORN CT, SPOKANE VALLEY, WA 99212-3701
(509) 879-7363
Mailing address
811 N DORN CT, SPOKANE VALLEY, WA 99212-3701
(509) 879-7363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60784786
WA
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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