Individual
MRS. JAIME LYNN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
321 BURDIN BOULEVARD, GRAND COULEE, WA 99133-0680
(509) 633-3260
(509) 633-3212
Mailing address
PO BOX 680, 321 BURDIN BLVD., GRAND COULEE, WA 99133-0680
(509) 633-3260
(509) 633-3212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8404279
—
WA
01
—
8802757
MEDICARE GROUP PIN
WA
Enumeration date
07/19/2007
Last updated
07/23/2007
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