Individual
DANIEL CRUZ MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL, CHT
Contact information
Practice address
615 LILLY RD NE STE 240, OLYMPIA, WA 98506-5117
(360) 413-3850
(360) 359-4726
Mailing address
615 LILLY RD NE STE 240, OLYMPIA, WA 98506-5117
(360) 413-3850
(360) 359-4726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT00000867
WA
225XH1200X
Hand Occupational Therapist
Primary
OT00000867
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8341299
—
WA
Enumeration date
05/29/2007
Last updated
03/22/2022
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