Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | OT61028706 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT61028706 | WA |
NPI | 1457950909 |
---|---|
Provider Name | Daniela Brown I |
First Address | Spokane, WA 99205-7448 |
Second Address | Spokane, WA 99205-7448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2020 |
Last Update Date | 25/10/2020 |