Individual
LAUREL LEE OLDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT-LANA
Contact information
Practice address
3615 S 23RD ST, TACOMA, WA 98405-1331
(253) 348-0066
Mailing address
4511 N 45TH ST, TACOMA, WA 98407-5003
(253) 677-6675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004512
WA
Other
Enumeration date
07/10/2007
Last updated
09/29/2013
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