Individual
OLIVIA VIOLET REBSTOCK HUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
123 W CASCADE WAY, SPOKANE, WA 99208-6017
(509) 290-1209
Mailing address
4807 W SHAWNEE AVE, SPOKANE, WA 99208-8642
(509) 290-1209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61234257
WA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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