Individual
MS. SUE ANN FOLKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
33330 8TH AVE S, FEDERAL WAY, WA 98003-6325
(253) 945-2000
Mailing address
2346 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3840
(253) 572-9806
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00003121
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT00003121
—
WA
Enumeration date
09/19/2012
Last updated
09/19/2012
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