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Individual

JANELL DYBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9212 E MONTGOMERY AVE, #103, SPOKANE VALLEY, WA 99206-4239
(509) 922-0855
(509) 921-0050
Mailing address
3924 E 28TH AVE, SPOKANE, WA 99223-5715

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00003671
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8455644
WA
Enumeration date
11/14/2006
Last updated
10/24/2007
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