Provider Demographics
NPI:1396203337
Name:SANDERS, REBECCA (MOTR/L)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E 2ND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-2225
Mailing Address - Country:US
Mailing Address - Phone:509-558-3544
Mailing Address - Fax:509-835-4400
Practice Address - Street 1:801 E 2ND AVE STE 100
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2225
Practice Address - Country:US
Practice Address - Phone:509-558-3544
Practice Address - Fax:509-835-4400
Is Sole Proprietor?:No
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60924105225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist