Healthcare Provider Details

I. General information

NPI: 1255472429
Provider Name (Legal Business Name): ROBYNN L OCZKEWICZ OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBYNN L STOLTE OTR/L, CHT

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E DIVISION ST STE 104
MOUNT VERNON WA
98274-4004
US

IV. Provider business mailing address

1101 E DIVISION ST
MOUNT VERNON WA
98274-4004
US

V. Phone/Fax

Practice location:
  • Phone: 360-899-4905
  • Fax: 360-899-9370
Mailing address:
  • Phone: 360-899-4905
  • Fax: 360-899-9370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT00003685
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: