Renee M Frost, OT
Occupational Therapist in Yelm, WA. Individual provider (NPI-1).
NPI number1528021995
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1528021995
- Entity type
- Individual (NPI-1)
- Name
- Renee M Frost
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2006
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Other names
- Renee Etchamendy (Former Name)
Practice location
417 W. Yelm Ave.Yelm, WA 98597-7679
Phone 360-458-2444 · Fax 360-458-2747
Mailing address
100 Dennis St SwSte B
Tumwater, WA 98501-6523
Phone 360-338-0181 · Fax 360-338-0257
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