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Individual

LACI LEA GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1515 S TECHNOLOGY BLVD, SPOKANE, WA 99224
(509) 209-7429
(509) 340-9942
Mailing address
1515 S TECHNOLOGY BLVD, SPOKANE, WA 99224-5003
(509) 209-7429
(509) 340-9942

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61035980
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT61035980
OT LICENSE
WA
Enumeration date
03/02/2020
Last updated
04/04/2024
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