Individual
RACHELLE MARIE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Mailing address
PO BOX 384, TROUT LAKE, WA 98650-0384
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60471061
WA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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