Individual
KELSEY ELIZABETH HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7409 NE HAZEL DELL AVE STE 112, VANCOUVER, WA 98665-8337
(360) 597-4048
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60999392
WA
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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