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General NPI Number Information
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NPI Number | 1215311642
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Entity Type | Organization
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Legal Business Name | SEATTLE THERAPY SERVICES LLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 2517 EASTLAKE AVE E. SUITE 102
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City | SEATTLE
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State | WA
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Zip | 98102
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Country | US
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Telephone | 206-322-5433
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Fax | 206-322-7545
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Provider Business Mailing Address
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Address Line | 2517 EASTLAKE AVE E. SUITE 102
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City | SEATTLE
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State | WA
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Zip | 98102
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Country | US
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Telephone | 206-322-5433
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Fax | 206-322-7545
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | SHELLEY O'DONNELL
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Credential | MS, OTR/L
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Telephone | 206-322-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 00003715
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License Number State | WA
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