Individual
LORRAINE BLAS DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1240 RUDDELL RD SE, LACEY, WA 98503-5747
(350) 915-6067
Mailing address
1240 RUDDELL RD SE, LACEY, WA 98503-5747
(350) 915-6067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61140130
WA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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