Individual
MISS MARTINA BROSCHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
914 CITADEL DR STE F, EVERSON, WA 98247-9668
(360) 441-0596
Mailing address
914 CITADEL DR STE F, EVERSON, WA 98247-9668
(360) 441-0596
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
OT 00002654
WA
225X00000X
Occupational Therapist
Primary
OT00002654
WA
Other
Enumeration date
07/28/2010
Last updated
05/29/2024
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