Organization
OT LIFESTYLE SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DALE DOYLE PHD OTR/L (OWNER)
(360) 903-3720
Entity
Organization
Contact information
Practice address
3305 MAIN ST STE 304, VANCOUVER, WA 98663-2251
(360) 723-5145
(360) 282-6863
Mailing address
3305 MAIN ST STE 304, VANCOUVER, WA 98663-2251
(360) 723-5145
(360) 282-6863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122914
—
WA
Enumeration date
02/23/2018
Last updated
03/13/2020
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