Healthcare Provider Details

I. General information

NPI: 1730207986
Provider Name (Legal Business Name): DOREEN CATHERINE HUNT MA, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19021 120TH AVE NE STE 102
BOTHELL WA
98011-9511
US

IV. Provider business mailing address

19021 120TH AVE NE STE 102
BOTHELL WA
98011-9511
US

V. Phone/Fax

Practice location:
  • Phone: 425-486-7710
  • Fax: 425-483-6059
Mailing address:
  • Phone: 425-486-7710
  • Fax: 425-483-6059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT00003589
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: