Individual
SERENA ROVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S BC AVE STE 115, LYNDEN, WA 98264-2053
(360) 354-2893
Mailing address
205 S BC AVE STE 115, LYNDEN, WA 98264-2053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60985496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT60985496
—
WA
Enumeration date
09/25/2019
Last updated
09/25/2019
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