Individual
JOHN HUGO SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
605 E HOLLAND AVE, SUITE 112, SPOKANE, WA 99218-2225
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004359
WA
Other
Enumeration date
03/17/2008
Last updated
09/02/2011
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