Individual
MONICA FOUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
917 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-9384
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61043262
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434892
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
01
—
OT61043262
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
03/23/2020
Last updated
03/23/2020
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