Healthcare Provider Details

I. General information

NPI: 1376665786
Provider Name (Legal Business Name): ROZANNI SENANAYAKE MS, OTR/L, CHT, CEAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12910 TOTEM LAKE BLVD NE SUITE 130
KIRKLAND WA
98034-2954
US

IV. Provider business mailing address

PO BOX 2451
WOODINVILLE WA
98072-2451
US

V. Phone/Fax

Practice location:
  • Phone: 888-924-2631
  • Fax: 888-924-2631
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT00002250
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT 00002250
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT 00002250
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: