Individual
LANE M SODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
29515 4TH AVE S, FEDERAL WAY, WA 98003-3667
(253) 230-5554
Mailing address
29515 4TH AVE S, FEDERAL WAY, WA 98003-3667
(253) 230-5554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT60091796
WA
225X00000X
Occupational Therapist
Primary
OT16767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018518
—
WA
Enumeration date
11/17/2009
Last updated
02/19/2015
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