Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT60255787 | WA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT60255787 | WA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT60255787 | WA |
NPI | 1407280894 |
---|---|
Provider Name | Dr. Dawn Marie Loughlin |
First Address | Seattle, WA 98195-0001 |
Second Address | Seattle, WA 98195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2013 |
Last Update Date | 21/08/2013 |