Healthcare Provider Details

I. General information

NPI: 1154798932
Provider Name (Legal Business Name): TIFFANY MARIE PIOTROWSKI MS,OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2015
Last Update Date: 08/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX#356154
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

5027 15TH AVE NE APARTMENT 208
SEATTLE WA
98105-4347
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-7974
  • Fax: 206-598-4897
Mailing address:
  • Phone: 206-743-4746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT60504334
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT60504334
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: