Organization
EMPIRE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILE MOHSENIAN OTR/L (OWNER)
(509) 701-7651
Entity
Organization
Contact information
Practice address
2527 E 27TH AVE, SPOKANE, WA 99223-4909
(509) 701-7651
(509) 279-2636
Mailing address
2527 E 27TH AVE, SPOKANE, WA 99223-4909
(509) 701-7651
(509) 279-2636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60269905
WA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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