Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | TL10000745 | WA |
NPI | 1073663522 |
---|---|
Provider Name | Elizabeth A Duran |
First Address | Liberty Lake, WA 99019-0421 |
Second Address | Spokane Valley, WA 99216-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 22/02/2021 |