Provider Demographics
NPI:1770038895
Name:AVPR PLLC
Entity Type:Organization
Organization Name:AVPR PLLC
Other - Org Name:FOUNDATIONS HOLISTIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MARTINCHUK
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:509-554-5565
Mailing Address - Street 1:104 S FREYA ST.
Mailing Address - Street 2:#109 D BROWN FLAG BLDG.
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4867
Mailing Address - Country:US
Mailing Address - Phone:509-554-5565
Mailing Address - Fax:509-381-3524
Practice Address - Street 1:104 S FREYA ST
Practice Address - Street 2:#109 D BROWN FLAG BLDG.
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4867
Practice Address - Country:US
Practice Address - Phone:509-554-5565
Practice Address - Fax:509-381-3524
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVPR PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-18
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA1528TX152WV0400X
225X00000X, 225XM0800X
WAOT60644519225XL0004X, 225XN1300X, 225XP0019X, 225XP0200X, 225XP0019X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow VisionGroup - Multi-Specialty
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental HealthGroup - Multi-Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty