NPI 1053781641
Elisabeth Landis
Practice location
- Address
- 1010 S 336th St STE 210, Federal Way, WA 98003-6385
- Phone
- (253) 835-5569
- Mailing address
- 1640 Redstone Center Dr Suite 200, Park City, UT 84098-7605
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1053781641
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Sep 2015
- Record last updated
- 25 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.