Individual
MRS. LOUISE CHRISTINE GABRIELLE DERKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4206 336TH PL SE, FALL CITY, WA 98024-5103
(425) 830-8768
Mailing address
32782 NE 52ND ST, CARNATION, WA 98014-5002
(425) 445-8300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61191865
WA
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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