Individual
LAURA BANNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
127 SW 156TH ST, BURIEN, WA 98166
(253) 216-0720
Mailing address
14715 BEL RED RD STE 104, BELLEVUE, WA 98007-3940
(425) 502-9440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60524746
WA
Other
Enumeration date
02/09/2015
Last updated
08/10/2018
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