Individual
DIANE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1100 9TH AVE # 160, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE # 160, SEATTLE, WA 98101-2756
(206) 223-6600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60732990
WA
225XP0200X
Pediatric Occupational Therapist
OT60732990
WA
Other
Enumeration date
03/09/2017
Last updated
10/11/2018
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