Individual provider · Type 1 NPI

Moktar Masanamo Batibure, MOT

Student in an Organized Health Care Education/Training Program · Spokane, WA

NPI number 1437664034 Active

Practice location

2102 E Sprague Ave
Spokane, WA 99202-3125

Call (509) 838-4651 Map

Fax (509) 363-2762

Mailing address

107 S Division St
Spokane, WA 99202-1510

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XCG61006256 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1437664034

Moktar Masanamo Batibure, MOT's National Provider Identifier is 1437664034, issued on Dec 5, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spokane, WA. The record was last updated on Nov 21, 2019.