Healthcare Provider Details

I. General information

NPI: 1396183174
Provider Name (Legal Business Name): TERESITA EGGE M.S. OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2013
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1219 PIERPONT ST
RAHWAY NJ
07065-3230
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4830
  • Fax:
Mailing address:
  • Phone: 732-910-4841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT60522530
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: