Organization
I CAN THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONIE GOERTZEN OTR/L (OCCUPATIONAL THERAPIST)
(509) 720-7704
Entity
Organization
Contact information
Practice address
14902 E 14TH AVE, SPOKANE VALLEY, WA 99037-9694
(509) 720-7704
Mailing address
PO BOX 1771, SPOKANE VALLEY, WA 99037-1771
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OT 60119529
WA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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