Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT00000592 | WA |
N | 225XF0002X | Feeding, Eating & Swallowing | OT00000592 | WA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT00000592 | WA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT00000592 | WA |
NPI | 1013260884 |
---|---|
Provider Name | Julieann Shaffer Morse |
First Address | Spokane, WA 99224-2203 |
Second Address | Spokane, WA 99201-0206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2012 |
Last Update Date | 18/10/2012 |