License holder summary

Heather Rae Provoncha is a Health Care - Occupational Therapist License licensed to practice in Washington. This medical licensee license is current. The license was granted 02/24/2015 and expired on 09/20/2017.

Washington

Medical Commission

Heather Rae Provoncha
Health Care - Occupational Therapist License
License number
OT60540564
Date granted
02/24/2015
Date expires
09/20/2017
Class
Health Care - Occupational Therapist License
Status
Active
wamedicine.com
ID 40647641
LAST UPDATED 2026-05-26 12:43:50 UTC

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