Healthcare Provider Details

I. General information

NPI: 1821932328
Provider Name (Legal Business Name): FIREFLY PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 NE BOTHELL WAY STE 204
KENMORE WA
98028-6525
US

IV. Provider business mailing address

24219 1ST AVE SE
BOTHELL WA
98021-4506
US

V. Phone/Fax

Practice location:
  • Phone: 623-203-1331
  • Fax:
Mailing address:
  • Phone: 623-203-1331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. DARCIE BULGER
Title or Position: OCCUPATIONAL THERAPIST
Credential: MS, OTR/L
Phone: 623-203-1331