Basic Information
| Provider Information | |||||||||
| NPI: | 1962949024 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ENGER | ||||||||
| FirstName: | ANGELA | ||||||||
| MiddleName: | K | ||||||||
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| OtherLastName: | RITSCHEL | ||||||||
| OtherFirstName: | ANGELA | ||||||||
| OtherMiddleName: | K | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 407 E 2ND AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992021428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094556002 | ||||||||
| FaxNumber: | 5097475990 | ||||||||
| Practice Location | |||||||||
| Address1: | 407 E 2ND AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992021428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094556002 | ||||||||
| FaxNumber: | 5097475990 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2017 | ||||||||
| LastUpdateDate: | 06/21/2019 | ||||||||
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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 | OT60725237 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.