MEDICARE: ELIZABETH A DURAN OTRL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	TL10000745	WA
2	225XH1200X	Hand Occupational Therapist	8481105	ID

General Provider Information

NPI Number	:	1073663522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH A DURAN OTRL

Provider Business Mailing Address
First Line	:	PO BOX 421
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-0421
Country	:	US
Telephone Number	:	866-747-2455
Fax Number	:	509-227-7070

Provider Business Practice Location Address
First Line	:	16528 E DESMET CT
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-3522
Country	:	US
Telephone Number	:	509-944-8920
Fax Number	:	509-227-7070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	06/03/2026

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