Individual
CHRISTINE ANNE VANDE VREDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
19031 33RD AVE W STE 102, LYNNWOOD, WA 98036-4731
(425) 741-0056
(425) 741-0057
Mailing address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 673-3916
(425) 673-3910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60788726
WA
225XH1200X
Hand Occupational Therapist
OT60788726
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121873
—
WA
01
—
404464
WA LABOR & INDUSTRIES
WA
Enumeration date
04/13/2016
Last updated
04/02/2024
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