Individual
LORETTA L LONGSINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18504 BOTHELL WAY NE, BOTHELL, WA 98011-1927
(425) 491-1933
(425) 527-6914
Mailing address
18504 BOTHELL WAY NE, BOTHELL, WA 98011-1927
(425) 491-1933
(425) 527-6914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60925904
WA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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