Individual
KAREN MICHELE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
305 MONUMENTAL WAY, CUSICK, WA 99119
(509) 445-0654
Mailing address
PO BOX 381, USK, WA 99180-0381
(509) 445-0654
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
437475
OR
225XP0200X
Pediatric Occupational Therapist
Primary
OT 00003585
WA
225XP0200X
Pediatric Occupational Therapist
OT-719
ID
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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