Healthcare Provider Details

I. General information

NPI: 1306757349
Provider Name (Legal Business Name): WENQING CAI OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9595 EASTRIDGE DR NE
REDMOND WA
98053-5004
US

IV. Provider business mailing address

11313 NE 128TH ST UNIT E204
KIRKLAND WA
98034-4716
US

V. Phone/Fax

Practice location:
  • Phone: 425-936-2790
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number61550324
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: