Individual
MARY B SOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CHT
Contact information
Practice address
5605 100TH ST SW, STE B, LAKEWOOD, WA 98499-2710
(253) 284-9800
(253) 284-9801
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT00002190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291602
DEPT. OF LABOR AND INDUSTRIES
WA
01
—
156271
DEPT OF LABOR & INDUSTRIE
WA
01
—
3792SO
REGENCE BLUE SHIELD
WA
01
—
670001773
RAILROAD MEDICARE
WA
05
—
8330532
—
WA
01
—
8936362
CRIME VICTIMS
WA
01
—
A003
TRICARE
WA
Enumeration date
08/13/2006
Last updated
07/17/2015
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