Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OC00000527 | WA |
NPI | 1922466721 |
---|---|
Provider Name | Brenda Lempe |
First Address | Sedro Woolley, WA 98284-8944 |
Second Address | Sedro Woolley, WA 98284-8944 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2016 |
Last Update Date | 08/02/2016 |