Basic Information
| Provider Information | |||||||||
| NPI: | 1780044420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEVOE | ||||||||
| FirstName: | KARLI | ||||||||
| MiddleName: | MARLAYNE | ||||||||
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| Credential: | OTR/L | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ANDREVE | ||||||||
| OtherFirstName: | KARLI | ||||||||
| OtherMiddleName: | MARLAYNE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3708 E 1ST AVE | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992024806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3608882818 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 153 JOHNS CT | ||||||||
| Address2: | |||||||||
| City: | SHELTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 985848225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3604272575 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2016 | ||||||||
| LastUpdateDate: | 02/23/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT60628608 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.