Organization
NORTHWEST HAND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN D LOUIE OT (MANAGER)
(360) 802-6838
Entity
Organization
Contact information
Practice address
2820 GRIFFIN AVE STE 210, ENUMCLAW, WA 98022-2373
(360) 802-6838
(360) 802-6839
Mailing address
2820 GRIFFIN AVE STE 210, ENUMCLAW, WA 98022-2373
(360) 802-6838
(360) 802-6839
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
OT00002354
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4749320001
DMERC
WA
Enumeration date
05/10/2007
Last updated
10/29/2007
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