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Individual

JOANNA W BLANCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
6710 NE 144TH ST, VANCOUVER, WA 98686-2096
(360) 608-5143
Mailing address
6710 NE 144TH ST, VANCOUVER, WA 98686-2096
(360) 608-5143

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003286
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8501454WA
WA
Enumeration date
11/15/2007
Last updated
10/23/2012
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