Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 00002978 | WA |
NPI | 1003171919 |
---|---|
Provider Name | Mrs. Darcie Clawson |
First Address | Sequim, WA 98382-3045 |
Second Address | Sequim, WA 98382-3045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2012 |
Last Update Date | 07/11/2014 |