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NPI Code Detail

MEDICARE: MRS. RAYME ROGGE SPRINGER OTR/L

MEDICARE: MRS. RAYME ROGGE SPRINGER OTR/L
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
1225X00000XOccupational Therapist
2225X00000XOccupational TherapistOT60996458WA

General Provider Information

NPI Number : 1891226916
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RAYME ROGGE SPRINGER OTR/L
Provider Business Mailing Address
First Line : 402 91ST AVE NE
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-2530
Country : US
Telephone Number : 425-308-0874
Fax Number :
Provider Business Practice Location Address
First Line : 402 91ST AVE NE
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-2530
Country : US
Telephone Number : 360-363-4234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 12/16/2024

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