Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT00003392 | WA |
NPI | 1013961754 |
---|---|
Provider Name | Elizabeth D. Burrows-Hight |
First Address | Fircrest, WA 98466-6606 |
Second Address | Lakewood, WA 98499-8000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 12/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
185469 | DEPT OF L&I (01) | WA |
7308BU | REGENCE (01) | WA |
8327744 | (05) | WA |