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General NPI Number Information
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NPI Number | 1316880362
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Entity Type | Individual
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Provider Name | ISABELLE EVA RIECKEN OTR
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 810 JASMINE ST
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City | OMAK
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State | WA
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Zip | 98841-9578
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Country | US
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Telephone | 509-826-1760
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Fax |
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Provider Business Mailing Address
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Address Line | 50 LIBERTY LN
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City | CODY
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State | WY
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Zip | 82414-7738
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 072.0134595
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License Number State | VT
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