Individual
LYNNE GROPPER-BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17208 NE 125TH COURT, BATTLE GROUND, WA 98606-0324
(360) 600-7238
Mailing address
PO BOX 324, BRUSH PRAIRIE, WA 98606-0324
(360) 600-7238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
WASHINGTON OT 953
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027801
PROFESSIONAL LICENSE
WA
Enumeration date
01/05/2011
Last updated
01/05/2011
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