Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT60271392 | WA |
N | 225XG0600X | Occupational Therapist - Gerontology | OT 60271392 | WA |
N | 225XH1200X | Occupational Therapist - Hand | OT60271392 | WA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT60271392 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT 60271392 | WA |
NPI | 1932472388 |
---|---|
Provider Name | Kari June Elizabeth Lenz |
First Address | Wenatchee, WA 98807-2994 |
Second Address | Spokane, WA 99202-5050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2012 |
Last Update Date | 17/03/2014 |