Individual
MS. LAURA SERVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103625
WA STATE DEPT. LABOR/INDU
WA
01
—
SE2924
BLUE CROSS
WA
Enumeration date
08/30/2005
Last updated
09/15/2010
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