Individual
TERENCE P MERTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2120 MOTTMAN ROAD S.W., TUMWATER, WA 98512
(360) 357-7466
(360) 357-1151
Mailing address
2120 MOTTMAN ROAD S.W., TUMWATER, WA 98512
(360) 357-7466
(360) 357-1151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213573
LABOR AND INDUSTRIES
WA
01
—
ME5173
REGENCE BLUESHIELD
WA
Enumeration date
06/06/2006
Last updated
07/13/2007
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