Basic Information
Provider Information
NPI: 1326004276
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOMLINSON
FirstName: STARNANI
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2411 SOUTH CHERRY COURT
Address2:  
City: SPOKANE
State: WA
PostalCode: 99216
CountryCode: US
TelephoneNumber: 5094735494
FaxNumber: 5094735998
Practice Location
Address1: 2411 S CHERRY CT
Address2:  
City: SPOKANE VALLEY
State: WA
PostalCode: 992160340
CountryCode: US
TelephoneNumber: 5094735494
FaxNumber: 5094735998
Other Information
ProviderEnumerationDate: 04/20/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000XOTO00001084WAX Other Service ProvidersSpecialist 
225XH1200XOTO00001084WAX Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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