Individual
REBECCA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 4TH ST, WOODLAND, WA 98674-8488
(360) 225-9443
Mailing address
14714 NW 4TH CT, VANCOUVER, WA 98685-1742
(360) 571-9749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002497
WA
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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