Healthcare Provider Details

I. General information

NPI: 1225421860
Provider Name (Legal Business Name): DANIELLE M WOJTKIEWICZ OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2015
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 4TH AVE NW STE 200
ISSAQUAH WA
98027-9371
US

IV. Provider business mailing address

1100 BELLEVUE WAY NE STE 8A #103
BELLEVUE WA
98004-4432
US

V. Phone/Fax

Practice location:
  • Phone: 425-369-0700
  • Fax:
Mailing address:
  • Phone: 425-369-0700
  • Fax: 425-900-5369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: