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General NPI Number Information
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NPI Number | 1033273115
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Entity Type | Individual
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Provider Name | JANINE LOUISE CZERNIECKI PT OT
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 16030 BOTHELL EVERETT HWY STE 140
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City | MILLCREEK
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State | WA
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Zip | 98012-1273
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Country | US
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Telephone | 425-338-9005
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Fax | 425-337-0931
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Provider Business Mailing Address
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Address Line | 4232 BAGLEY AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-7625
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT00003014
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT00000368
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License Number State | WA
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