Individual
JANENE LOUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10903 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1341
(253) 583-5177
(253) 583-5178
Mailing address
5002 N 10TH ST, TACOMA, WA 98406-3106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001842
WA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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